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1538551403
RETREAT CHIROPRACTIC & WELLNESS LLC
WILTON MANORS, FL
NPI
1538551403
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Entity Type
Organization
Authorized Contact
FRANK GRANT LASSITER
Sole Member
954-551-5631
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: FL CH11161)
Enumeration Date
2015-03-02
Last Update Date
2015-03-02
Business Address
RETREAT CHIROPRACTIC & WELLNESS LLC
2608 NE 16TH AVE
WILTON MANORS, FL 33334-4319
Phone number: 954-551-5631
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Mailing Address
RETREAT CHIROPRACTIC & WELLNESS LLC
2608 NE 16TH AVE
WILTON MANORS, FL 33334-4319
Phone number: 954-551-5631
Copy
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