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Organization
SKYLINE CHIROPRACTIC
Active
Organization
SKYLINE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BUNN (VICE PRESIDENT)
(801) 675-5600
Entity
Organization
Contact information
Practice address
1893 SKYLINE DR, SUITE 110, SOUTH OGDEN, UT 84403-5218
(801) 675-5600
(801) 393-4589
Mailing address
1893 SKYLINE DR, SUITE 110, SOUTH OGDEN, UT 84403-5218
(801) 675-5600
(801) 393-4589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2875851202
UT
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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