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Organization
JOSE L GRADILLA
Active
Organization
JOSE L GRADILLA
Active
Other names
CHIROPRACTIC CONNECTION
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L GRADILLA DC (OWNER)
(972) 353-4216
Entity
Organization
Contact information
Practice address
1120 W MAIN ST, LEWISVILLE, TX 75067-3426
(972) 353-4216
(972) 219-7170
Mailing address
1120 W MAIN ST, LEWISVILLE, TX 75067-3426
(972) 353-4216
(972) 219-7170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10167
TX
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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