FULLMER CHIROPRACTIC

PROVIDENCE, UT
NPI1184949349
Entity TypeOrganization
Authorized ContactTHOMAS OWEN FULLMER
Owner
435-752-5522
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: UT  7563542-1202)
Enumeration Date2010-03-31
Last Update Date2010-03-31
Business Address
FULLMER CHIROPRACTIC
1652 S HIGHWAY 165
PROVIDENCE, UT 84332-6701
Phone number: 435-752-5522
Mailing Address
FULLMER CHIROPRACTIC
1652 S HIGHWAY 165
PROVIDENCE, UT 84332-6701
Phone number: 435-752-5522
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