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Individual
DR. TERRY LAUBACH
Active
Individual
DR. TERRY LAUBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011323
PA
111NR0400X
Rehabilitation Chiropractor
DC011323
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC011323
PENNSYLVANIA STATE CHIROPRACTIC LICENCE
PA
Enumeration date
12/08/2017
Last updated
06/16/2018
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