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Individual

DR. ETHAN R LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D. C.

Contact information

Practice address
11470 S CLEVELAND AVE, FORT MYERS, FL 33907-2323
(239) 936-2311
(239) 936-7391
Mailing address
11470 S CLEVELAND AVE, FORT MYERS, FL 33907-2323
(239) 936-2311
(239) 936-7391

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00602100
NJ
111N00000X
Chiropractor
Primary
CH 9792
FL

Other

Enumeration date
06/14/2006
Last updated
05/04/2012
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