Individual
MELVIN NOMIDDLENAME RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
533 W REED ST, MOBERLY, MO 65270-1509
(660) 263-0299
Mailing address
533 W REED ST, MOBERLY, MO 65270-1509
(660) 263-0299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5882
MO
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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