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1346422086
IRA KEITH LAVENDER
GILBERT, AZ
NPI
1346422086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 6015)
Enumeration Date
2007-12-05
Last Update Date
2012-10-30
Business Address
Dr. IRA KEITH LAVENDER D.C.
2915 E BASELINE RD STE 126
GILBERT, AZ 85234-2475
Phone number: 480-325-6977
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Mailing Address
Dr. IRA KEITH LAVENDER D.C.
2915 E BASELINE RD STE 126
GILBERT, AZ 85234-2475
Phone number: 480-325-6977
Copy
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