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Organization
GENESIS CHIROPRACTIC, LLC
Active
Organization
GENESIS CHIROPRACTIC, LLC
Active
Other names
ProActive Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE RENEE MAYFIELD DC (OWNER)
(314) 210-2623
Entity
Organization
Contact information
Practice address
1520 PARKWAY W, FESTUS, MO 63028-2381
(636) 937-0100
Mailing address
101 RICHARDSON XING, ARNOLD, MO 63010-6006
(314) 210-2623
(636) 464-2180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001008726
MO
Other
Enumeration date
08/02/2018
Last updated
01/16/2019
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