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Organization
PRIDE CLINIC, SC
Active
Organization
PRIDE CLINIC, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E. PRIDE D.C. (PRESIDENT)
(217) 352-9108
Entity
Organization
Contact information
Practice address
3105 VILLAGE OFFICE PLACE, CHAMPAIGN, IL 61822
(217) 352-9108
Mailing address
3105 VILLAGE OFFICE PLACE, CHAMPAIGN, IL 61822
(217) 352-9108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
10/02/2007
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