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Individual

GANIM HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4216 MACCORKLE AVE SE, CHARLESTON, WV 25304-2539
(304) 925-1697
(304) 925-1698
Mailing address
4216 MACCORKLE AVE SE, CHARLESTON, WV 25304-2539
(304) 925-1697
(304) 925-1698

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
743
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2202010000
WV
Enumeration date
09/11/2006
Last updated
01/15/2008
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