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Individual

MR. RONALD ALLEN MCCORKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
18310 HWY 410 EAST, BONNEY LAKE, WA 98391
(253) 863-6377
(253) 863-2052
Mailing address
18310 HWY 410 EAST, BONNEY LAKE, WA 98391
(253) 863-6377
(253) 863-2052

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001508
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16925
LABOR & INDUSTRIES
WA
Enumeration date
11/03/2006
Last updated
07/08/2007
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