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Organization
STACEY GILLIS CHIROPRACTIC INC
Active
Organization
STACEY GILLIS CHIROPRACTIC INC
Active
Other names
Harbor Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY GILLIS D.C. (PRESIDENT)
(949) 515-5170
Entity
Organization
Contact information
Practice address
2200 HARBOR BLVD, SUITE B-160, COSTA MESA, CA 92627-2501
(949) 515-5170
(949) 515-5173
Mailing address
2200 HARBOR BLVD, SUITE B-160, COSTA MESA, CA 92627-2501
(949) 515-5170
(949) 515-5173
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28079
CA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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