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Individual

DR. NEIL R DUFORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1726 S 3RD ST, IRONTON, OH 45638-2284
(740) 532-1016
(740) 532-4651
Mailing address
1726 S 3RD ST, IRONTON, OH 45638-2284
(740) 532-1016
(740) 532-4651

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
OH 595
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31-11832834001
BLUE CROSS OF OHIO
OH
01
311183283-00
OHIO WORKERS COMPENSATION
OH
01
792350184
RAILROAD MEDICARE
OH
Enumeration date
01/03/2007
Last updated
11/04/2013
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