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Organization
FAMILY FOUNDATION CHIROPRACTIC PC
Active
Organization
FAMILY FOUNDATION CHIROPRACTIC PC
Active
Other names
Gonstead Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK BROOKS HENDERSON D.C. (PRESIDENT)
(801) 842-6382
Entity
Organization
Contact information
Practice address
1121 E 3900 S, STE. 222, SALT LAKE CITY, UT 84124-1214
(801) 747-0770
(801) 747-0771
Mailing address
1121 E 3900 S, STE. 222, SALT LAKE CITY, UT 84107
(801) 747-0770
(801) 747-0771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
62621261202
UT
Other
Enumeration date
01/10/2007
Last updated
01/25/2008
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