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1376031302
LONGEVITY CHIROPRACTIC
PUEBLO, CO
NPI
1376031302
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Entity Type
Organization
Authorized Contact
DEREK W STICKLER
Chiropractor/Owner
719-924-8104
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CO 6888)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
LONGEVITY CHIROPRACTIC
2447 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 719-924-8104
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Mailing Address
LONGEVITY CHIROPRACTIC
2447 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 719-924-8104
Copy
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