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Individual

DR. DANA LORRAINE CAVELL CLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
585 MEDFORD AVE STE 10, PATCHOGUE, NY 11772-1336
(631) 569-5476
(631) 569-5478
Mailing address
585 MEDFORD AVE STE 10, PATCHOGUE, NY 11772-1336
(631) 569-5476
(631) 569-5478

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010114-1
NY

Other

Enumeration date
11/12/2010
Last updated
11/12/2010
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