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1629539291
SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC
CHICAGO, IL
NPI
1629539291
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Entity Type
Organization
Authorized Contact
KEITH OLDING
Chiropractor
419-628-4003
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2019-03-27
Last Update Date
2019-05-08
Business Address
SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC
1209 W GRACE ST
CHICAGO, IL 60613-2805
Phone number: 772-525-2225
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Mailing Address
SOUTHPORT GRACE CHIROPRACTIC AND WELLNESS LLC
1209 W GRACE ST STE 1
CHICAGO, IL 60613-2805
Phone number: 772-525-2225
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