Individual
MICHAEL DEBOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6280 ROUTE 96 STE E, VICTOR, NY 14564-1408
(585) 433-5680
Mailing address
6280 ROUTE 96 STE E, VICTOR, NY 14564-1408
(585) 433-5680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013046
NY
Other
Enumeration date
12/18/2017
Last updated
12/22/2020
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