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Organization
BLUE RIDGE CHIROPRACTIC, LLC
Active
Organization
BLUE RIDGE CHIROPRACTIC, LLC
Active
Other names
Blue Ridge Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY JOSEPH LUSTER D.C. (PRESIDENT)
(334) 514-7327
Entity
Organization
Contact information
Practice address
2412 US HWY 231, WETUMPKA, AL 36092
(334) 514-7327
(334) 514-7328
Mailing address
1504 PRAIRIE LN, MONTGOMERY, AL 36117-3477
(334) 318-1427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2153
AL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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