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Organization
THE CHIROPRACTIC EDGE
Active
Organization
THE CHIROPRACTIC EDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY RUSSELL DC (PRESIDENT)
(717) 749-7111
Entity
Organization
Contact information
Practice address
12080 SKYHAWK DR, UNIT B, WAYNESBORO, PA 17268-8305
(717) 749-7111
Mailing address
12080 SKYHAWK DR, UNIT B, WAYNESBORO, PA 17268-8305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010340
PA
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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