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Individual

MR. LELAND J. NORTHCUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1014 S CHANCERY ST, MCMINNVILLE, TN 37110
(931) 473-2345
(931) 473-4254
Mailing address
1014 S CHANCERY ST, MCMINNVILLE, TN 37110
(931) 473-2345
(931) 473-4254

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
435
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3673405
TN
Enumeration date
08/03/2006
Last updated
08/04/2008
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