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Organization
S E EWEN PLLC
Active
Organization
S E EWEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN EMILY EWEN D.C (CHIROPRACTOR)
(563) 570-0812
Entity
Organization
Contact information
Practice address
3724 46TH AVE, ROCK ISLAND, IL 61201-7047
(309) 786-2071
(309) 558-1832
Mailing address
2230 SCOTT ST, DAVENPORT, IA 52803-2715
(563) 570-0812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011828
IL
Other
Enumeration date
02/05/2011
Last updated
03/29/2011
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