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Organization
TREE OF LIFE SPINE
Active
Organization
TREE OF LIFE SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN WILSON (DC)
(214) 547-7234
Entity
Organization
Contact information
Practice address
309 S JUPITER RD STE 100, ALLEN, TX 75002-3052
(214) 547-7236
Mailing address
309 S JUPITER RD STE 100, ALLEN, TX 75002-3052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9922
TX
Other
Enumeration date
05/11/2007
Last updated
10/29/2007
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