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Individual
JOHN C FALKENROTH
Active
Individual
JOHN C FALKENROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC25861
STATE LICENSE
CA
01
—
ZZZ64963A
BLUE SHIELD
CA
Enumeration date
09/14/2006
Last updated
01/16/2015
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