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Organization
PRIDEMORE CHIROPRACTIC CENTER, INC
Active
Organization
PRIDEMORE CHIROPRACTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JEFFERSON PRIDEMORE JR. D.C. (PRESIDENT)
(309) 837-6555
Entity
Organization
Contact information
Practice address
112 N SCOTLAND ST, MACOMB, IL 61455-2535
(309) 837-6555
Mailing address
PO BOX 893, MACOMB, IL 61455-0893
(309) 837-6555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009915
—
Other
Enumeration date
10/21/2006
Last updated
02/04/2010
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