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Individual

EMMANUELLE VICENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 E ROYAL LN STE 125, IRVING, TX 75039-4215
(214) 920-9111
Mailing address
4845 GRAMERCY OAKS DR APT 144, DALLAS, TX 75287-5359
(787) 414-2892

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16676
TX

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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