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Individual

DR. CHANNY GARDEAZABAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
827 RIVER RD UNIT 228, CORONA, CA 92880-1472
(714) 318-4928
Mailing address
827 RIVER RD UNIT 228, CORONA, CA 92880-1472
(714) 318-4928

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32687
CA

Other

Enumeration date
04/28/2014
Last updated
04/28/2014
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