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Chiropractic Providers Chiropractor

Provider NPI: 1780732172

Organization Information:
Organization is not Subpart
Authorized Official:  DEAN L JOHNSON  PRESIDENT  605-722-4525

Practice Location:
Tel: 605-722-4525  Fax: 605-722-4533

Business Mailing Address:
Tel: 605-722-4525  Fax: 605-722-4533

NPI Information:
NPI: 1780732172
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 111N00000X





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