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Organization

KENT G CARLOMAGNO A PROF CHIROPRACTIC CORP

Active
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Organization

KENT G CARLOMAGNO A PROF CHIROPRACTIC CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENT GENE CARLOMAGNO DC (CHIROPRACTOR)
(415) 721-7520
Entity
Organization

Contact information

Practice address
710 C ST, SUITE 12, SAN RAFAEL, CA 94901-3857
(415) 721-7520
(416) 721-7535
Mailing address
710 C ST, STE 12, SAN RAFAEL, CA 94901-3857
(415) 721-7520
(416) 721-7535

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15882
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467519488
NPI
CA
Enumeration date
01/02/2007
Last updated
01/05/2011
About Stedi
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