LIFE SOURCE CHIROPRACTIC P.C.

OMAHA, NE
NPI1740258136
Entity TypeOrganization
Authorized ContactJASON ANDREW WIESE
Chiropractor
402-934-4220
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NE  1400)
Enumeration Date2006-03-10
Last Update Date2020-08-22
Business Address
LIFE SOURCE CHIROPRACTIC P.C.
15475 RUGGLES ST. 110
OMAHA, NE 68116
Phone number: 402-934-4220
Mailing Address
LIFE SOURCE CHIROPRACTIC P.C.
15475 RUGGLES ST. 110
OMAHA, NE 68116
Phone number: 402-934-4220
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