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Individual

DR. FRED LEE TRULL II

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1739 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083
(704) 938-1141
(704) 938-1143
Mailing address
1739 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083
(704) 938-1141
(704) 938-1143

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1437
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08848
BCBSNC
NC
05
8908848
NC
Enumeration date
02/22/2006
Last updated
07/08/2007
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