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Individual

JARED DAVID CHAMBLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5224 75TH ST, SUITE B, LUBBOCK, TX 79424-2523
(806) 797-4000
(806) 771-3659
Mailing address
5224 75TH ST, SUITE B, LUBBOCK, TX 79424-2523
(806) 797-4000
(806) 771-3659

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12749
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
378878AL9V
MEDICARE
TX
Enumeration date
09/30/2014
Last updated
12/12/2017
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