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Individual
SAMUEL MCDONALD
Active
Individual
SAMUEL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR0007574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376069849
NPI GROUP
—
Enumeration date
08/31/2017
Last updated
12/14/2023
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