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Organization
KOUSOULIS CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization
KOUSOULIS CHIROPRACTIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS KOUSOULIS DC (OWNER)
(310) 208-0101
Entity
Organization
Contact information
Practice address
1062 WESTWOOD BLVD, LOS ANGELES, CA 90024-2903
(310) 208-0101
(323) 512-5228
Mailing address
1062 WESTWOOD BLVD, LOS ANGELES, CA 90024-2903
(310) 208-0101
(323) 512-5228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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