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Individual

THOMAS JACOB VANDUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24002 VIA FABRICANTE STE 501, MISSION VIEJO, CA 92691-3934
(949) 454-8811
Mailing address
24002 VIA FABRICANTE STE 501, MISSION VIEJO, CA 92691-3934
(949) 454-8811

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC28755
CA

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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