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Individual

DAMON CHRISTOPHER DEWEESE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1312 DUNN AVE, JACKSONVILLE, FL 32218-4836
(904) 757-4786
(904) 757-4882
Mailing address
1312 DUNN AVE, JACKSONVILLE, FL 32218-4836
(904) 757-4786
(904) 757-4882

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8089
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00001614
RAILROAD MEDICARE
FL
Enumeration date
03/14/2006
Last updated
07/09/2007
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