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1235398272
NATIONAL CHIROPRACTIC, LLC
WEST ALLIS, WI
NPI
1235398272
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Entity Type
Organization
Authorized Contact
BRIAN FORMOLO
Owner
414-431-0936
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WI 3364)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
NATIONAL CHIROPRACTIC, LLC
5800 W NATIONAL AVE
WEST ALLIS, WI 53214-3446
Phone number: 414-431-0936
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Mailing Address
NATIONAL CHIROPRACTIC, LLC
5800 W NATIONAL AVE
WEST ALLIS, WI 53214-3446
Phone number: 414-431-0936
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