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Individual

KURT EDWIN DICHIARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1330 S MAGNOLIA ST, SUITE B, HAMMOND, LA 70403
(985) 222-2066
(985) 222-2074
Mailing address
17557 OLD JEFFERSON HWY STE 102, PRAIRIEVILLE, LA 70769-3930
(985) 222-2066
(985) 222-2074

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1794
LA

Other

Enumeration date
09/27/2018
Last updated
09/27/2018
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