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Individual
DR. GARY L RICHARDSON
Active
Individual
DR. GARY L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23577
CA
111N00000X
Chiropractor
DC23577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051571
RAILROAD MEDICARE PIN
CA
01
—
DC23577
CA LICENSE #
CA
Enumeration date
05/27/2006
Last updated
04/01/2021
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