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Individual
DR. SEAN MATTHEW DUNIVENT
Active
Individual
DR. SEAN MATTHEW DUNIVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005026319
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36352029
BCBS
MO
01
—
5762118
COVNTRY
MO
01
—
7245620
AETNA PPO
MO
01
—
7398818
AETNA
MO
Enumeration date
01/10/2007
Last updated
03/15/2008
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