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1154967651
OBSIDIAN CHIROPRACTIC, LLC
GRAND RAPIDS, MI
NPI
1154967651
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Entity Type
Organization
Authorized Contact
CHARLES JUSTIN AUSTIN
Owner
850-218-0677
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
OBSIDIAN CHIROPRACTIC, LLC
2504 ARDMORE ST SE STE 102
GRAND RAPIDS, MI 49506-4901
Phone number: 850-218-0677
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Mailing Address
OBSIDIAN CHIROPRACTIC, LLC
319 LYON ST NE APT 1
GRAND RAPIDS, MI 49503-3381
Phone number: 850-218-0677
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