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Organization
WELLNESS CONCEPTS CLINIC
Active
Organization
WELLNESS CONCEPTS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL REAVIS-ALEMAN (ACUPUNCTURIST)
(417) 877-1300
Entity
Organization
Contact information
Practice address
1200 E WOODHURST DR, SUITE R300, SPRINGFIELD, MO 65804-4261
(417) 877-1300
(417) 877-1335
Mailing address
1200 E WOODHURST DR, SUITE R300, SPRINGFIELD, MO 65804-4261
(417) 877-1335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007008411
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002030343
LICENSE
MO
01
—
2010000775
LICENSE
MO
Enumeration date
05/12/2011
Last updated
05/12/2011
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