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Organization
SPIRIT CHIROPRACTIC LLC
Active
Organization
SPIRIT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLIE GILLIS DC (CHIROPRACTOR)
(906) 399-1681
Entity
Organization
Contact information
Practice address
340 WESTOVER RD, WHITEMAN AIR FORCE BASE, MO 65305-1222
(906) 399-1681
Mailing address
PO BOX 144, KNOB NOSTER, MO 65336-0144
(906) 399-1681
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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