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Organization
TRUE LIFE CHIROPRACTIC
Active
Organization
TRUE LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN FRANCES WALETKUS DC (OWNER)
(781) 585-0585
Entity
Organization
Contact information
Practice address
283 MAIN ST, KINGSTON, MA 02364-1910
(781) 585-0585
(781) 585-0586
Mailing address
283 MAIN ST, KINGSTON, MA 02364-1910
(781) 585-0585
(781) 585-0586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1946
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018410
NEIGHBORHOOD
MA
05
—
1612905
—
MA
01
—
35851
HARVARD PILGRIM
MA
01
—
402656
TUFTS
MA
01
—
U58872
FIRST SENIORITY
MA
01
—
Y36466
BCBS
MA
01
—
Y39589
BCBS
MA
Enumeration date
02/08/2007
Last updated
06/25/2008
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