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1083905301
ACTIVE LIFESTYLE CHIROPRACTIC
PHOENIX, AZ
NPI
1083905301
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Entity Type
Organization
Authorized Contact
JENNIFER RENEE WINTON
Owner
480-704-1050
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 7750)
Enumeration Date
2011-04-20
Last Update Date
2011-04-20
Business Address
ACTIVE LIFESTYLE CHIROPRACTIC
16515 S 40TH ST SUITE 129
PHOENIX, AZ 85048-0558
Phone number: 480-704-1050
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Mailing Address
ACTIVE LIFESTYLE CHIROPRACTIC
16515 S 40TH ST SUITE 129
PHOENIX, AZ 85048-0558
Phone number: 480-704-1050
Copy
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