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1316103864
EVERGREEN CHIROPRACTIC, PLLC
OREM, UT
NPI
1316103864
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Entity Type
Organization
Authorized Contact
GEOFFREY G. MOULTRIE
Owner
801-224-2279
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: UT 5289181-1202)
Enumeration Date
2008-08-04
Last Update Date
2008-08-04
Business Address
EVERGREEN CHIROPRACTIC, PLLC
1445 N 1200 W
OREM, UT 84057-2449
Phone number: 801-224-2279
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Mailing Address
EVERGREEN CHIROPRACTIC, PLLC
1445 N 1200 W
OREM, UT 84057-2449
Phone number: 801-224-2279
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