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Individual

MR. JAMIE SCOT CANTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5164 HINKLEVILLE, PADUCAH, KY 42001
(270) 422-0110
(270) 442-0170
Mailing address
5164 HINKLEVILLE RD, PADUCAH, KY 42001
(270) 422-0110
(270) 442-0170

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4891
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85003440
KY
Enumeration date
08/21/2006
Last updated
07/08/2007
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