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Individual

DR. JASEN TODD VANDYKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6 PARK PL W, BREVARD, NC 28712-3081
(828) 883-8262
(828) 883-8264
Mailing address
6 PARK PL W, BREVARD, NC 28712-3081
(828) 883-8262
(828) 883-8264

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3818
SC
111N00000X
Chiropractor
Primary
4464
NC

Other

Enumeration date
04/08/2013
Last updated
12/02/2022
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