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Organization
BACK AND NECK PAIN CENTER LLC
Active
Organization
BACK AND NECK PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAPHET DIVAD LEGRANT DC (OWNER)
(276) 632-3334
Entity
Organization
Contact information
Practice address
1141 MEMORIAL BLVD N, MARTINSVILLE, VA 24112-2429
(276) 632-3334
(276) 632-1882
Mailing address
1141 MEMORIAL BLVD N, MARTINSVILLE, VA 24112-2429
(276) 632-3334
(276) 632-1882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/30/2019
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