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Organization
WILSON & ALLEN CHIROPRACTIC CORPORATION
Active
Organization
WILSON & ALLEN CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL SHERRI ALLEN D.C. (CHIROPRACTOR)
(209) 334-6947
Entity
Organization
Contact information
Practice address
2000 W KETTLEMAN LN STE 104, LODI, CA 95242-4334
(209) 334-6947
(209) 334-6969
Mailing address
2000 W KETTLEMAN LN STE 104, LODI, CA 95242-4334
(209) 334-6947
(209) 334-6969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4379
CORPORATE CERTIFICATE
CA
Enumeration date
12/21/2020
Last updated
12/21/2020
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