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Organization
HENRICKSEN CHIROPRACTIC, LLC
Active
Organization
HENRICKSEN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB HENRICKSEN DC (OWNER/PROVIDER)
(907) 723-2853
Entity
Organization
Contact information
Practice address
250 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(907) 723-2853
Mailing address
250 CRYSTAL GROVE BLVD, LUTZ, FL 33548-6460
(907) 723-2853
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/18/2025
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