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Individual

BRYAN LARRY GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
22019 HWY 99, SUITE A, EDMONDS, WA 98026-8023
(425) 659-2411
(425) 672-7065
Mailing address
22019 HWY 99, SUITE A, EDMONDS, WA 98026-8023
(425) 659-2411
(425) 672-7065

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH34357
WA

Other

Enumeration date
02/22/2007
Last updated
10/05/2007
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