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Organization
TRUE VINE CHIROPRACTIC PA
Active
Organization
TRUE VINE CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KUSTARZ D.C. (OWNER)
(561) 401-0915
Entity
Organization
Contact information
Practice address
6743 W INDIANTOWN RD STE 37, JUPITER, FL 33458-3987
(561) 401-0915
Mailing address
6743 W INDIANTOWN RD STE 37, JUPITER, FL 33458-3987
(561) 401-0915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10901
FL
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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