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1801426218
PROVIDENCE CHIROPRACTIC LLC
HERMITAGE, TN
NPI
1801426218
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Entity Type
Organization
Authorized Contact
MICHAEL SHAUB
Owner
615-942-7282
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2020-01-24
Last Update Date
2020-03-20
Business Address
PROVIDENCE CHIROPRACTIC LLC
5512 OLD HICKORY BLVD
HERMITAGE, TN 37076-2576
Phone number: 615-942-7282
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Mailing Address
PROVIDENCE CHIROPRACTIC LLC
5512 OLD HICKORY BLVD
HERMITAGE, TN 37076-2576
Phone number:
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