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Organization
LAKE WALES CHIROPRACTIC CENTER INC
Active
Organization
LAKE WALES CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L. HARRELL DC (PRESIDENT)
(863) 676-7619
Entity
Organization
Contact information
Practice address
343 W CENTRAL AVE, SUITE 103, LAKE WALES, FL 33853-4059
(863) 676-7619
(863) 676-7610
Mailing address
343 W CENTRAL AVE, SUITE 103, LAKE WALES, FL 33853-4059
(863) 676-7619
(863) 676-7610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4000
FL
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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