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Organization
ARIZONA WELLNESS CHIROPRACTIC, LLC
Active
Organization
ARIZONA WELLNESS CHIROPRACTIC, LLC
Active
Other names
Elements of Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHETT L MALLETT D.C. (OWNER)
(602) 298-8400
Entity
Organization
Contact information
Practice address
13934 N 59TH AVE, 100, GLENDALE, AZ 85306-4167
(602) 298-8400
Mailing address
13934 N 59TH AVE, 100, GLENDALE, AZ 85306-4167
(602) 298-8400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
Primary
—
NULL
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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