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Individual

AUDREY J EGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1833 FILLMORE ST, STE. 100, SAN FRANCISCO, CA 94115-3180
(415) 567-9995
Mailing address
1505 PERSHING DR, APT D, SAN FRANCISCO, CA 94129-1078

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27049
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1032392
ASHP
CA
01
694717
BLUE SHIELD
CA
Enumeration date
06/06/2006
Last updated
07/09/2007
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