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Individual

DR. FOSTER JAMES CULLUM IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
3728 PHILLIPS HWY STE 13, JACKSONVILLE, FL 32207-6840
(904) 477-4480
(904) 683-5619
Mailing address
PO BOX 47125, JACKSONVILLE, FL 32247-7125
(904) 477-4480
(904) 683-5619

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7576
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3818543
FL
Enumeration date
08/11/2006
Last updated
02/24/2011
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