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Individual

KRISTAN WAYNE JONASSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
13 CLONIGER DR, SUITE 5, THOMASVILLE, NC 27360-5870
(336) 476-9600
(336) 476-9636
Mailing address
PO BOX 1184, THOMASVILLE, NC 27361
(336) 476-9600
(336) 476-9636

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2712
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0840U
BLUE CROSS BLUE SHIELD
NC
05
890840U
NC
Enumeration date
02/13/2007
Last updated
04/24/2013
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