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Organization
GRAVITY SPINE LLC
Active
Organization
GRAVITY SPINE LLC
Active
Other names
Gravity Spine and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNG JAE LEE DC (OWNER/ CHIROPRACTOR)
(703) 520-9980
Entity
Organization
Contact information
Practice address
209 ELDEN ST STE 302, HERNDON, VA 20170-4847
(703) 520-9980
(571) 403-9403
Mailing address
209 ELDEN ST STE 302, HERNDON, VA 20170-4847
(703) 520-9980
(571) 403-9403
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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