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Organization
PROACTIVE CHIROPRACTIC AND WELLNESS PLLC
Active
Organization
PROACTIVE CHIROPRACTIC AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS PROSSER D.C (OWNER)
(585) 278-8351
Entity
Organization
Contact information
Practice address
6605 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450
(585) 278-8351
Mailing address
6605 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-3407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3408
MA
Other
Enumeration date
11/21/2014
Last updated
07/11/2018
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