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Individual

DR. COREY DALE HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1722 S GLENSTONE AVE, SUITE F, SPRINGFIELD, MO 65804-1519
(417) 888-6420
Mailing address
1722 S GLENSTONE AVE, SUITE F, SPRINGFIELD, MO 65804-1519
(417) 888-6420

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004010252
MO

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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