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Individual

JOHN VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
29 NORTH FIFTH STREET, KEOKUK, IA 52632
(319) 524-5354
(319) 524-5356
Mailing address
29 NORTH FIFTH STREET, KEOKUK, IA 52632
(319) 524-5354
(319) 524-5356

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06192
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0222232
IA
Enumeration date
06/27/2006
Last updated
07/08/2007
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