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Individual

DR. JUSTIN MARIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.C.

Contact information

Practice address
LOT 147 CHALAN PALE ARNOLD ROAD, GUALO RAI, SAIPAN, MP 96950
(670) 233-6325
(670) 235-4746
Mailing address
PMB 1367 PO BOX 100003, SAIPAN, MP 96950
(670) 483-6325
(670) 235-4746

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008340
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014
SAIPAN CHIROPRACTIC LICENCE
MP
Enumeration date
10/22/2008
Last updated
10/22/2008
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