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Individual
DR. PERRY JOHN VANDERHURST JR.
Active
Individual
DR. PERRY JOHN VANDERHURST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434044
ANTHEM BCBS
VA
Enumeration date
04/12/2006
Last updated
03/30/2011
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