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1669005013
LAKESIDE CHIROPRACTIC LLC
KENOSHA, WI
NPI
1669005013
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Entity Type
Organization
Authorized Contact
JAYNIE GOSSETT
Billing Coordinator
262-657-8434
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2020-02-13
Last Update Date
2020-02-13
Business Address
LAKESIDE CHIROPRACTIC LLC
5024 GREEN BAY RD STE 100
KENOSHA, WI 53144-1702
Phone number: 262-657-8434
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Mailing Address
LAKESIDE CHIROPRACTIC LLC
5024 GREEN BAY RD STE 100
KENOSHA, WI 53144-1702
Phone number: 262-657-8434
Copy
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