ETHAN DALE FRACK

WEBB CITY, MO
NPI1053028670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: MO  2022042096)
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
DR. ETHAN DALE FRACK DC
1506 S MADISON ST
WEBB CITY, MO 64870-2901
Phone number: 417-673-5556
Mailing Address
DR. ETHAN DALE FRACK DC
1506 S MADISON ST
WEBB CITY, MO 64870-2901
Phone number: 417-673-5556
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