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1366501447
MOUNTAIN STATE CHIROPRACTIC
MAN, WV
NPI
1366501447
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Entity Type
Organization
Authorized Contact
JOHNATHAN MATTHEW ELLIS
Doctor
304-583-6400
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: WV 823)
Enumeration Date
2006-12-06
Last Update Date
2020-08-22
Business Address
MOUNTAIN STATE CHIROPRACTIC
310 MARKET ST
MAN, WV 25635-1321
Phone number: 304-583-6400
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Mailing Address
MOUNTAIN STATE CHIROPRACTIC
PO BOX 664
MAN, WV 25635-0664
Phone number: 304-583-6400
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