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Individual

DR. CAROL LE BLANC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 E 17TH ST, SUITE 206, COSTA MESA, CA 92627-4701
(949) 645-9050
Mailing address
301 E 17TH ST, SUITE 206, COSTA MESA, CA 92627-4701
(949) 645-9050

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17518
CA

Other

Enumeration date
11/17/2006
Last updated
07/08/2007
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