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Individual

DR. REBECCA MARIE YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
630 GODDARD AVE, IGNACIO, CO 81137
(970) 563-1006
Mailing address
PO BOX 300, IGNACIO, CO 81137-0300
(970) 563-1006

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301007373
MI
111N00000X
Chiropractor
Primary
CHR.007375
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1010004
HAN
MI
05
20-4302147
MI
01
950Z950230
BCBS
MI
01
OM41610
MEDICARE
Enumeration date
04/18/2007
Last updated
05/13/2019
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