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Individual

DR. ANTHONY DA GRACA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
121 TORREY STREET, BROCKTON, MA 02301
(508) 580-3991
Mailing address
121 TORREY STREET, BROCKTON, MA 02301
(508) 580-3991
(508) 587-3198

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2910
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9931116
HARVARD
Enumeration date
01/26/2007
Last updated
07/08/2007
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