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Organization
DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC
Active
Organization
DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNA RAE MUNDINGER D.C. (CHIROPRACTOR/OWNER/PRESIDENT)
(858) 997-9320
Entity
Organization
Contact information
Practice address
1022 19TH ST S, LA CROSSE, WI 54601-5811
(608) 519-5690
Mailing address
1022 19TH ST S, LA CROSSE, WI 54601-5811
(858) 997-9320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5028-12
WI
Other
Enumeration date
02/07/2015
Last updated
06/02/2015
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