NPI | 1043461981 |
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Doing Business As | LANCE TILLEY, D.C. |
Entity Type | Organization |
Authorized Contact | LANCE TILLEY Owner/Chiropractic Physician 801-621-6155 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 364218-1202) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |