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Organization
VILLAGE CHIROPRACTIC CENTER OF
Active
Organization
VILLAGE CHIROPRACTIC CENTER OF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LAYNE BERRY D.C. (PRESIDENT)
(904) 940-0361
Entity
Organization
Contact information
Practice address
425 W TOWN PL, STE. 118, SAINT AUGUSTINE, FL 32092-3661
(904) 940-0361
(904) 940-0364
Mailing address
425 W TOWN PL, STE. 118, SAINT AUGUSTINE, FL 32092-3661
(904) 940-0361
(904) 940-0364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9346
FL
Other
Enumeration date
09/19/2007
Last updated
01/16/2008
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