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Organization
S. EAGLE RD CHIROPRACTIC INC
Active
Organization
S. EAGLE RD CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA BAILEY DC (OWNER DOCTOR)
(610) 789-7669
Entity
Organization
Contact information
Practice address
31 S. EAGLE RD SUITE 101, HAVERTOWN, PA 19083
(610) 789-7669
(610) 789-7672
Mailing address
31 S. EAGLE RD SUITE 101, HAVERTOWN, PA 19083
(610) 789-7669
(610) 789-7672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-004701-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02592247
—
PA
Enumeration date
02/07/2006
Last updated
07/30/2007
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