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Organization
TED E MARRIOTT, D.C., A PROFESSIONAL CHIROPRACTIC CORPORATION
Active
Organization
TED E MARRIOTT, D.C., A PROFESSIONAL CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED E MARRIOTT D.C. (PRESIDENT)
(626) 808-1515
Entity
Organization
Contact information
Practice address
600 S LAKE AVE, SUITE 204, PASADENA, CA 91106-3955
(626) 808-1515
Mailing address
600 S LAKE AVE, SUITE 204, PASADENA, CA 91106-3955
(626) 808-1515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21747
CA
Other
Enumeration date
05/15/2008
Last updated
06/05/2010
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