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Individual

GENENE ANN PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
7600 W STATE HIGHWAY 29, STE. 7, GEORGETOWN, TX 78628-6937
(512) 868-5123
(512) 868-0084
Mailing address
PO BOX 1076, LIBERTY HILL, TX 78642-1076
(512) 868-5123
(512) 868-0084

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6945
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
606243
BCBS
TX
Enumeration date
04/06/2007
Last updated
11/30/2010
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