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Individual
DR. TINA MARIE SHORT
Active
Individual
DR. TINA MARIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1246
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162942067689
INDIVIDUAL NPI
SD
Enumeration date
05/20/2014
Last updated
10/05/2020
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