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1154435519
KEN EAGLE
MELVILLE, NY
NPI
1154435519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: NY X008036-1)
Enumeration Date
2006-08-19
Last Update Date
2013-11-16
Business Address
Dr. KEN EAGLE D.C. BCN
150 BROADHOLLOW RD SUITE 108
MELVILLE, NY 11747-4905
Phone number: 631-385-1400
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Mailing Address
Dr. KEN EAGLE D.C. BCN
PO BOX 58
OLD BETHPAGE, NY 11804-0058
Phone number: 631-385-1400
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