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Organization
KEOUGH CHIROPRACTIC, INC
Active
Organization
KEOUGH CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY PATRICK KEOUGH DC (PRESIDENT)
(909) 783-4950
Entity
Organization
Contact information
Practice address
12139 MOUNT VERNON AVE STE 100, GRAND TERRACE, CA 92313-5519
(909) 783-4950
(909) 783-1008
Mailing address
12139 MOUNT VERNON AVE STE 100, GRAND TERRACE, CA 92313-5519
(909) 783-4950
(909) 783-1008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
10/31/2008
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