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Individual

DR. SUSAN CHRISTINE DILATUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
142 VINE ST, BENTON, KY 42025-7472
(270) 527-0000
(270) 527-2121
Mailing address
PO BOX 1095, BENTON, KY 42025-1095
(270) 527-0000
(270) 527-2121

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1197
MT
111N00000X
Chiropractor
1545
AR
111N00000X
Chiropractor
Primary
5447
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5U573
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
01/25/2006
Last updated
11/03/2014
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