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Individual

DR. JULIET L CROSSLAND SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
12 WHITING ST, NORTH TONAWANDA, NY 14120-6124
(716) 692-4476
Mailing address
12 WHITING ST, NORTH TONAWANDA, NY 14120-6124
(716) 692-4476

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0108872
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C10887 OI
WORKERS COMPENSATION
NY
01
IHA8891066
INDEPENDENT HEALTH
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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