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1013553189
ELITE UPPER CERVICAL LLC
PORTLAND, OR
NPI
1013553189
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Entity Type
Organization
Authorized Contact
COREY DANIEL BURT
Director
503-597-8098
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2019-11-22
Last Update Date
2023-10-29
Business Address
ELITE UPPER CERVICAL LLC
10200 SW EASTRIDGE ST STE 235
PORTLAND, OR 97225-5063
Phone number: 503-597-8098
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Mailing Address
ELITE UPPER CERVICAL LLC
10200 SW EASTRIDGE ST STE 235
PORTLAND, OR 97225-5063
Phone number: 503-597-8098
Copy
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