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1982874764
BACK TO LIFE CHIROPRACTIC, INC
PHOENIX, AZ
NPI
1982874764
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Entity Type
Organization
Authorized Contact
JOHN JEROME KOC
Owner
480-703-1834
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 6076)
Enumeration Date
2008-03-07
Last Update Date
2013-06-11
Business Address
BACK TO LIFE CHIROPRACTIC, INC
4045 E BELL RD STE 107
PHOENIX, AZ 85032-2236
Phone number: 480-703-1834
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Mailing Address
BACK TO LIFE CHIROPRACTIC, INC
4045 E BELL RD STE 107
PHOENIX, AZ 85032-2236
Phone number: 480-703-1834
Copy
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