CENTRAL CHIROPRACTIC CLINIC

BASTROP, LA
NPI1790883783
Entity TypeOrganization
Authorized ContactRANDLE BLAKE HAWTHORNE
Owner
318-281-0550
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: LA  293)
Enumeration Date2006-09-21
Last Update Date2007-11-08
Business Address
CENTRAL CHIROPRACTIC CLINIC
608 N MARABLE ST
BASTROP, LA 71220-3032
Phone number: 318-281-0550
Mailing Address
CENTRAL CHIROPRACTIC CLINIC
PO BOX 1462
BASTROP, LA 71221-1462
Phone number: 318-281-0550
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