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Individual

MR. MARK L BAWCOM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
760 INDEPENDENCE BLVD, BAWCOM CHIROPRACTIC CLINIC, VIRGINIA BEACH, VA 23455
(757) 490-7911
(757) 490-7918
Mailing address
760 INDEPENDENCE BLVD, BAWCOM CHIROPRACTIC CLINIC, VIRGINIA BEACH, VA 23455
(757) 490-7911
(757) 490-7918

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1771
VA

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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