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Organization
UINTA SPINE ALIGN
Active
Organization
UINTA SPINE ALIGN
Active
Other names
Davidson Chiropractic Clinic Evanston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY DEE MANGUM DC (OWNER/CEO)
(307) 222-4322
Entity
Organization
Contact information
Practice address
1425 HIGHWAY 150 S STE 2, EVANSTON, WY 82930-5377
(307) 222-4322
(307) 444-4325
Mailing address
1425 HIGHWAY 150 S STE 2, EVANSTON, WY 82930-5377
(307) 222-4322
(307) 444-4325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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