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1356621700
BACK TO LIFE LLC
POMPANO BEACH, FL
NPI
1356621700
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Entity Type
Organization
Authorized Contact
MICHAEL JEFFERSON
President
407-913-8285
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH9715)
Enumeration Date
2011-08-17
Last Update Date
2011-08-25
Business Address
BACK TO LIFE LLC
2323 NE 26TH AVE
POMPANO BEACH, FL 33062-1147
Phone number: 754-300-4660
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Mailing Address
BACK TO LIFE LLC
2323 NE 26TH AVE
POMPANO BEACH, FL 33062-1147
Phone number: 754-300-4660
Copy
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