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Organization

CLYDELL DEWBERRY DC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLYDELL LORAN DEWBERRY D.C. (CHIROPRACTOR)
(954) 745-8416
Entity
Organization

Contact information

Practice address
9710 STIRLING ROAD, SUITE 112, COOPER CITY, FL 33024
(954) 745-8416
Mailing address
9710 STIRLING ROAD, SUITE 112, COOPER CITY, FL 33024
(954) 745-8416

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9460
FL

Other

Enumeration date
06/03/2009
Last updated
06/03/2009
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