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Individual

ROBERT JEWELL RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
836 STATE HIGHWAY Y, GALENA, MO 65656-4633
(417) 272-8317
Mailing address
836 STATE HIGHWAY Y, GALENA, MO 65656-4633
(417) 272-8317

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004392
MO

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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