Individual
DR. CHESTER DUNCAN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3900 PELANDALE AVE, #125, MODESTO, CA 95356-9026
(209) 545-8727
(209) 545-4630
Mailing address
3900 PELANDALE AVE, #125, MODESTO, CA 95356-9026
(209) 545-8727
(209) 545-4630
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
20985
CA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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