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Individual

DIREN S MAGLENTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2415 SE 165TH AVE, STE 105, VANCOUVER, WA 98683-4323
(360) 798-4175
(888) 461-3735
Mailing address
2415 SE 165TH AVE, STE 105, VANCOUVER, WA 98683-4323
(360) 798-4175
(888) 461-3735

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000847
HI

Other

Enumeration date
10/04/2006
Last updated
08/13/2009
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