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Individual

JEREMY JOSEPH MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
6024 AZTEC RD, EL PASO, TX 79925-2011
(915) 594-7787
(915) 598-3365
Mailing address
6024 AZTEC RD, EL PASO, TX 79925-2011
(915) 594-7787
(915) 598-3365

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11144
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208336201
TX
Enumeration date
03/24/2009
Last updated
03/24/2010
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