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Individual
JACK PAUL RICCI
Active
Individual
JACK PAUL RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528152261
NPI
CA
Enumeration date
10/03/2006
Last updated
05/03/2016
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