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1386362978
100 CHIRO BOURNE LLC
MCDONOUGH, GA
NPI
1386362978
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Entity Type
Organization
Authorized Contact
RAVEN MICHELLE HOUSE-BOURNE
Doctor/Owner
504-333-9084
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2022-08-18
Last Update Date
2023-07-06
Business Address
100 CHIRO BOURNE LLC
3512 HIGHWAY 155 N STE A2
MCDONOUGH, GA 30252-5506
Phone number: 504-333-9084
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Mailing Address
100 CHIRO BOURNE LLC
403 DARTER DR NW
KENNESAW, GA 30144-5083
Phone number: 504-333-9084
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