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Organization
TERRY CHIROPRACTIC CLINIC, LTD
Active
Organization
TERRY CHIROPRACTIC CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W TERRY (PRESIDENT)
(618) 532-5432
Entity
Organization
Contact information
Practice address
1415 E THIRD ST, CENTRALIA, IL 62801-4401
(618) 532-5432
(618) 532-1103
Mailing address
1415 E 3RD ST, CENTRALIA, IL 62801-4401
(618) 532-5432
(618) 532-1103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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