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Individual
GARY DEAN BRIDGES
Active
Individual
GARY DEAN BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05924
IA
171100000X
Acupuncturist
A05924
IA
Other
Enumeration date
05/23/2005
Last updated
05/18/2020
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