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Organization
RIDGE LINE CHIROPRACTIC LLC
Active
Organization
RIDGE LINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON MAINIERI D.C. (PRESIDENT)
(303) 790-1455
Entity
Organization
Contact information
Practice address
9894 ROSEMONT AVE STE 103, LONETREE, CO 80124-4103
(303) 790-1455
Mailing address
9894 ROSEMONT AVE STE 103, LONETREE, CO 80124-4103
(303) 790-1455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR-6422
CO
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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