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Organization
MAWN CHIROPRACTIC PA
Active
Organization
MAWN CHIROPRACTIC PA
Active
Other names
The Source Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYLLON MAWN D.C. (OWNER/PRESIDENT)
(561) 876-2157
Entity
Organization
Contact information
Practice address
2500 1ST AVE N, ST PETERSBURG, FL 33713-8702
(727) 329-6106
Mailing address
5751 11TH ST S, ST PETERSBURG, FL 33705-5021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
11/06/2023
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