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Organization · Chiropractor · O Fallon, MO

NPI
1740407907
Type
Organization (Type 2)
Primary specialty
Chiropractor
Specialty group
Chiropractic Providers
Taxonomy code
111N00000X
License number
2006000335 (MO)
Enumerated
2007-04-19
Last updated
2009-05-06
Practice location
2011 Highway K
O Fallon, MO 63366-3965
(636) 978-3110

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