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1073754032
LIFE SOURCE CREATING WELLNESS CTR INC
DICKSON, TN
NPI
1073754032
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Entity Type
Organization
Authorized Contact
CHAD M UPCHURCH
Owner
615-441-6115
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: TN 1444)
Enumeration Date
2009-03-20
Last Update Date
2016-08-03
Business Address
LIFE SOURCE CREATING WELLNESS CTR INC
491 HENSLEE DR
DICKSON, TN 37055-2166
Phone number: 615-441-6115
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Mailing Address
LIFE SOURCE CREATING WELLNESS CTR INC
491 HENSLEE DR
DICKSON, TN 37055-2166
Phone number: 615-441-6115
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