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1720188857
EAGLE CHIROPRACTIC PC
EAGLE, ID
NPI
1720188857
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Entity Type
Organization
Authorized Contact
SHERRY LYNN NORD
Secretary
208-939-9195
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: ID C561)
Enumeration Date
2006-09-25
Last Update Date
2019-10-11
Business Address
EAGLE CHIROPRACTIC PC
5337 S STATE ST
EAGLE, ID 83616-4313
Phone number: 208-939-9195
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Mailing Address
EAGLE CHIROPRACTIC PC
5337 W STATE ST
EAGLE, ID 83616-4313
Phone number: 208-939-9195
Copy
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