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Organization
SIMI SPINE AND WELLNESS A CHIROPRACTIC CORPORATION OF SHAWN DECLOEDT
Active
Organization
SIMI SPINE AND WELLNESS A CHIROPRACTIC CORPORATION OF SHAWN DECLOEDT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN STUART DECLOEDT DC (PRESIDENT)
(805) 581-2310
Entity
Organization
Contact information
Practice address
3655 ALAMO ST STE 201, SIMI VALLEY, CA 93063-2187
(805) 581-2310
(805) 335-2439
Mailing address
PO BOX 1209, SIMI VALLEY, CA 93062-1209
(805) 581-2310
(805) 335-2439
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/19/2022
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