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Organization
LAFAYETTE CHIROPRACTIC CLINIC PA
Active
Organization
LAFAYETTE CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN ELKJAER JENSEN DC (OWNER)
(850) 222-2952
Entity
Organization
Contact information
Practice address
1844 FIDDLER CT, SUITE B, TALLAHASSEE, FL 32308-4450
(850) 222-2952
(850) 877-0845
Mailing address
1844 FIDDLER CT, SUITE B, TALLAHASSEE, FL 32308-4450
(850) 222-2952
(850) 877-0845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3421
FL
Other
Enumeration date
12/05/2011
Last updated
12/16/2011
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