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Organization
SPORT AND SPINE CHIROPRACTIC CENTER LLC
Active
Organization
SPORT AND SPINE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINGER LEAH SHARP D.C. (CFO)
(636) 456-2966
Entity
Organization
Contact information
Practice address
810 E HIGHWAY M, WARRENTON, MO 63383-2215
(636) 456-2966
(636) 456-2977
Mailing address
810 E HIGHWAY M, WARRENTON, MO 63383-2215
(636) 456-2966
(636) 456-2977
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2006030811
MO
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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