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Individual

DR. NATHANIEL JOHN GASDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1960 WESTWOOD DR, ANGOLA, IN 46703-8639
(260) 665-3533
(260) 665-3533
Mailing address
1960 WESTWOOD DR, ANGOLA, IN 46703-8639
(260) 665-3533
(260) 665-3533

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0800206A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200442340A
IN
Enumeration date
09/14/2006
Last updated
09/11/2013
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