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1376811471
HEALTHSOURCE OF CORALVILLE, PC
CORALVILLE, IA
NPI
1376811471
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Entity Type
Organization
Authorized Contact
JEFFREY WISDO
Owner
319-373-7576
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IA 06595)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
HEALTHSOURCE OF CORALVILLE, PC
18010 2ND STREET SUITE 170
CORALVILLE, IA 52241
Phone number: 319-373-7576
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Mailing Address
HEALTHSOURCE OF CORALVILLE, PC
18010 2ND STREET SUITE 170
CORALVILLE, IA 52241
Phone number: 319-373-7576
Copy
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