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Individual

DR. MARK C CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
745 RIVERSIDE DR, WELCH, WV 24801-2607
(304) 436-2520
(304) 436-2518
Mailing address
745 RIVERSIDE DR, WELCH, WV 24801-2607
(304) 436-2520
(304) 436-2518

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
753
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2201030001
WV
Enumeration date
10/11/2006
Last updated
11/30/2007
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