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Individual

DR. DEBORAH C TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C

Contact information

Practice address
146 FARMINGTON AVE, BRISTOL, CT 06010-4218
(860) 560-3285
Mailing address
146 FARMINGTON AVE, BRISTOL, CT 06010-4218
(860) 560-3285

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001392
CT
111NI0900X
Internist Chiropractor
001392
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004221389
CT
Enumeration date
01/10/2017
Last updated
06/06/2019
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