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Organization
WILCOX BAYSIDE SPINE & SPORT CHIROPRACTIC
Active
Organization
WILCOX BAYSIDE SPINE & SPORT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN WILCOX DC (OWNER)
(813) 469-0409
Entity
Organization
Contact information
Practice address
838 G ST, SAN DIEGO, CA 92101-6421
(619) 786-5997
Mailing address
838 G ST, SAN DIEGO, CA 92101-6421
(619) 786-5997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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