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Individual

DR. DONALD BRUCE TAYLOR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
777 FRONT ST, SAN DIEGO, CA 92101-6002
(858) 458-3603
Mailing address
PO BOX 927355, SAN DIEGO, CA 92192-7355
(858) 458-3603

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
12557
CA
111NX0800X
Orthopedic Chiropractor
3645
OK

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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