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Individual

COLIN M RUNYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
109 NW MAIN ST, ENNIS, TX 75119-4079
(972) 875-9377
Mailing address
3317 SPRUCE LN, GRAPEVINE, TX 76051-7154
(817) 657-7975

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14059
TX

Other

Enumeration date
07/07/2019
Last updated
07/07/2019
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