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Individual

DANIELE ELLEN RUNYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1628 OLD APEX RD, CARY, NC 27513-5719
(919) 367-6752
Mailing address
1640 OLD APEX RD, CARY, NC 27513-5719
(919) 367-6752

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5127
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5127
CHIROPRACTIC LICENCE
NC
Enumeration date
01/06/2020
Last updated
11/02/2021
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