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Organization
ENVIVE BRANDON PROF LLC
Active
Organization
ENVIVE BRANDON PROF LLC
Active
Parent organization
ENVIVE, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVIVE, P.C.
Authorized official
LAVONNE MCKEE (CREDENTIALING SPECIALIST)
(605) 214-1401
Entity
Organization
Contact information
Practice address
220 E HOLLY BLVD, BRANDON, SD 57005-1171
(605) 582-3944
(605) 582-3698
Mailing address
220 E HOLLY BLVD, BRANDON, SD 57005-1171
(605) 582-3944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
09/13/2018
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