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1396057428
ACTIVE REST CHIROPRACTIC
LA JOLLA, CA
NPI
1396057428
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Entity Type
Organization
Authorized Contact
COLLAN LEE KOEPPEN
Owner
858-736-4056
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
ACTIVE REST CHIROPRACTIC
7825 FAY AVE 249
LA JOLLA, CA 92037-4252
Phone number: 858-736-4056
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Mailing Address
ACTIVE REST CHIROPRACTIC
7825 FAY AVE 249
LA JOLLA, CA 92037-4252
Phone number: 858-736-4056
Copy
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