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1023833134
SOURCE CHIROPRACTIC LLC
CROWLEY, LA
NPI
1023833134
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Entity Type
Organization
Authorized Contact
TANNER JOSEPH HEBERT
Chiropractor/Owner
337-550-9981
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
SOURCE CHIROPRACTIC LLC
2443 RICE CAPITOL PKWY. SUITE D
CROWLEY, LA 70526
Phone number: 337-550-9981
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Mailing Address
SOURCE CHIROPRACTIC LLC
179 GRANDE RUE
CHURCH POINT, LA 70525-5048
Phone number: 337-550-9981
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