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Individual

MR. DARYL R PRATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
903 W SOUTH ST, KALAMAZOO, MI 49007
(269) 343-5021
(269) 343-5022
Mailing address
903 W SOUTH ST, KALAMAZOO, MI 49007
(269) 343-5021
(269) 343-5022

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23010077517
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4430153
IBA
Enumeration date
01/03/2007
Last updated
07/08/2007
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