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1427025782
LANCE ROBERT SEVERSON
PRESCOTT, AZ
NPI
1427025782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 4804)
Enumeration Date
2006-03-07
Last Update Date
2007-07-08
Business Address
Dr. LANCE ROBERT SEVERSON D. C.
416 W GOODWIN ST
PRESCOTT, AZ 86303-3737
Phone number: 928-778-7062
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Mailing Address
Dr. LANCE ROBERT SEVERSON D. C.
4878 N SOCORRO DR
PRESCOTT VALLEY, AZ 86314-7136
Phone number: 928-778-7062
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