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Organization
AVALON HEALTH LLC
Active
Organization
AVALON HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM S OLOUGHLIN DC (OWNER)
(301) 987-0111
Entity
Organization
Contact information
Practice address
811 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3524
(301) 987-0111
(240) 668-9463
Mailing address
811 RUSSELL AVE STE B, GAITHERSBURG, MD 20879-3524
(301) 987-0111
(301) 987-0114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01866
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030459000
—
MD
05
—
1225127384
—
MD
Enumeration date
10/13/2009
Last updated
12/16/2019
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