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Individual

DR. MARIANNE S GENGENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
989 REHWINKEL RD, CRAWFORDVILLE, FL 32327-3456
(850) 590-8334
(850) 926-4278
Mailing address
989 REHWINKEL RD, CRAWFORDVILLE, FL 32327-3456
(850) 590-8334
(850) 926-4278

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH6510
FL
111NP0017X
Pediatric Chiropractor
CH6510
FL
111NS0005X
Sports Physician Chiropractor
Primary
CH6510
FL

Other

Enumeration date
04/27/2015
Last updated
04/27/2015
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