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Individual
DR. JOHN WAYNE HUMPHREY
Active
Individual
DR. JOHN WAYNE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
323
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1602691
—
MA
01
—
665308
HEALTH NEW ENGLAND
MA
01
—
AA25033
HARVARD PILGRIM HEALTH
MA
Enumeration date
08/30/2006
Last updated
06/02/2009
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