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Organization
NORTHWEST CHIROPRACTIC CLINIC
Active
Organization
NORTHWEST CHIROPRACTIC CLINIC
Active
Other names
Northwest Chiropractic Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT LOVELL SHELBY D.C. (DOCTOR/OWNER)
(660) 582-8099
Entity
Organization
Contact information
Practice address
206 W 2ND ST, MARYVILLE, MO 64468-2229
(660) 582-8099
Mailing address
206 W 2ND ST, MARYVILLE, MO 64468-2229
(660) 582-8099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006606
MO
Other
Enumeration date
05/02/2011
Last updated
07/18/2011
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