Individual
DR. LOREN E. VANDUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
99 W MAIN ST, SODUS, NY 14551-1119
(315) 483-6783
Mailing address
99 W MAIN ST, SODUS, NY 14551-1119
(315) 483-6783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006705-1
NY
Other
Enumeration date
08/28/2007
Last updated
09/04/2007
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