BLAINE MAXSON

MISHAWAKA, IN
NPI1912371766
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IN  08002860A)
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
-- BLAINE MAXSON D.C.
413 W MCKINLEY AVE
MISHAWAKA, IN 46545-5599
Phone number: 574-256-1008
Mailing Address
-- BLAINE MAXSON D.C.
413 W MCKINLEY AVE
MISHAWAKA, IN 46545-5599
Phone number: 574-256-1008
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