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Individual

GERALD ALLEN WELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2520 COLBY AVE, #107, EVERETT, WA 98201-2994
(425) 252-8505
(425) 258-2544
Mailing address
2520 COLBY AVE, #107, EVERETT, WA 98201-2994
(425) 252-8505
(425) 258-2544

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00000969
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2007474
WA
Enumeration date
12/06/2006
Last updated
07/08/2007
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