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1902853070
STRUCTURAL DISORDERS OF THE SPINE
HARRISBURG, PA
NPI
1902853070
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Entity Type
Organization
Authorized Contact
JASON MICHAEL FULLMER
Owner
717-460-3422
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: PA 009494)
Enumeration Date
2006-05-27
Last Update Date
2020-08-22
Business Address
STRUCTURAL DISORDERS OF THE SPINE
21 NORTH 4TH STREET
HARRISBURG, PA 17101
Phone number: 717-233-3476
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Mailing Address
STRUCTURAL DISORDERS OF THE SPINE
21 NORTH 4TH STREET
HARRISBURG, PA 17101
Phone number: 717-233-3476
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