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Individual

DEREK NATHANIEL RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3144 EL CAMINO REAL STE 201, CARLSBAD, CA 92008-2194
(760) 720-2920
Mailing address
3144 EL CAMINO REAL STE 201, CARLSBAD, CA 92008-2194
(760) 720-2920

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 25094
CA

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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