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Individual
DR. MARIO EUDAVE GARCIA
Active
Individual
DR. MARIO EUDAVE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12088967
CAQH
CA
01
—
6468389
ATENA
CA
01
—
MG1121980
ASHLINK
CA
Enumeration date
01/07/2010
Last updated
11/17/2011
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