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Organization
ABUNDANT HEALTH CHIROPRACTIC PC
Active
Organization
ABUNDANT HEALTH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA CLUM DC (OWNER/CHIROPRACTOR)
(631) 569-5476
Entity
Organization
Contact information
Practice address
585 MEDFORD AVE STE 10, PATCHOGUE, NY 11772-1336
(631) 569-5476
Mailing address
585 MEDFORD AVE STE 10, PATCHOGUE, NY 11772-1336
(631) 569-5476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010114-1
NY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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