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Organization
KALEO CHIROPRACTIC CLINIC PLLC
Active
Organization
KALEO CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE DAVID GLENN D.C. (CHIROPRACTOR)
(918) 728-9129
Entity
Organization
Contact information
Practice address
408 S BROADWAY AVE, TYLER, TX 75702-8101
(903) 595-5190
Mailing address
408 S BROADWAY AVE, TYLER, TX 75702-8101
(903) 595-5190
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11385
TX
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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