BACK ROOM

GULFPORT, MS
NPI1386905412
Entity TypeOrganization
Authorized ContactKATANYA FORD
Chiropractor
228-331-2035
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: MS  1162)
Enumeration Date2012-06-05
Last Update Date2012-06-13
Business Address
BACK ROOM
15312 DEDEAUX RD SUITE A
GULFPORT, MS 39503-3123
Phone number: 228-331-2035
Mailing Address
BACK ROOM
15312 DEDEAUX RD SUITE A
GULFPORT, MS 39503-3123
Phone number: 228-331-2035
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