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1548875495
ELITE SPINAL PERFORMANCE CHIROPRACTIC PA
IDAHO FALLS, ID
NPI
1548875495
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Entity Type
Organization
Authorized Contact
DEREK C CALAWAY
Owner
208-557-9616
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
ELITE SPINAL PERFORMANCE CHIROPRACTIC PA
661 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5596
Phone number: 208-557-9616
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Mailing Address
ELITE SPINAL PERFORMANCE CHIROPRACTIC PA
661 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5596
Phone number: 208-557-9616
Copy
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