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Individual
MR. IVAN RAYNER III
Active
Individual
MR. IVAN RAYNER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013280
IL
225700000X
Massage Therapist
277.016927
IL
Other
Enumeration date
01/05/2016
Last updated
12/20/2018
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