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Individual

MICHELLE M. DE LA TORRE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
433 W SPRINGFIELD RD, SULLIVAN, MO 63080-1545
(573) 468-6011
(573) 468-7868
Mailing address
PO BOX 297, SULLIVAN, MO 63080-0297
(573) 468-4067

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006471
MO

Other

Enumeration date
12/20/2005
Last updated
07/08/2007
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