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1124160353
JOHN R ISTAD
PORT SAINT LUCIE, FL
NPI
1124160353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH6232)
Enumeration Date
2007-02-13
Last Update Date
2010-08-20
Business Address
-- JOHN R ISTAD D.C.
1105 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952-5332
Phone number: 772-398-5400
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Mailing Address
-- JOHN R ISTAD D.C.
1105 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952-5332
Phone number: 772-398-5400
Copy
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