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Individual

STEPHEN DAVID DEMAINE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
504 EASTWAY DR, CHARLOTTE, NC 28205-1421
(704) 372-6960
(704) 372-6890
Mailing address
504 EASTWAY DR, CHARLOTTE, NC 28205-1421
(704) 372-6960
(704) 372-6890

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23786
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7211535
NC
Enumeration date
03/02/2006
Last updated
08/24/2020
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