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Individual

MS. THERESA ANN DUNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1 CLOVERLEAF SQUARE, BUILDING E SUITE 1, BIG STONE GAP, VA 24219
(276) 523-7128
(276) 523-7213
Mailing address
1 CLOVERLEAF SQUARE, BUILDING E SUITE 1, BIG STONE GAP, VA 24219
(276) 523-7128
(276) 523-7213

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001636
VA
111N00000X
Chiropractor
2211095
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
241125
ANTHEM
VA
01
5001443
AETNA
VA
05
9534679
VA
Enumeration date
05/16/2006
Last updated
07/08/2007
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