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1457100729
SPINE AND SPORT OF SLIDELL, LLC
SLIDELL, LA
NPI
1457100729
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Entity Type
Organization
Authorized Contact
KYLE W SMITH
Owner
985-290-0893
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
SPINE AND SPORT OF SLIDELL, LLC
436 OLD SPANISH TRL
SLIDELL, LA 70458-3904
Phone number: 985-641-4898
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Mailing Address
SPINE AND SPORT OF SLIDELL, LLC
520 N CALEB DR
SLIDELL, LA 70461-5713
Phone number: 985-290-0893
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