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CHESTERTON, IN
NPI1417301847
Entity TypeOrganization
Authorized ContactJAMES P. GANO
Operator/Chiropractor
219-728-6649
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08002566A)
Enumeration Date2016-04-22
Last Update Date2016-09-01
Business Address
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761 INDIAN BOUNDARY RD SUITE 4
CHESTERTON, IN 46304-1586
Phone number: 219-728-6649
Mailing Address
BACK TO LIFE CHIROPRACTIC L.L.C
761 INDIAN BOUNDARY RD SUITE 4
CHESTERTON, IN 46304-1586
Phone number: 219-728-6649