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Organization
IAN AHEARN CHIROPRACTIC INC
Active
Organization
IAN AHEARN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN AHEARN DC (CEO)
(619) 640-0321
Entity
Organization
Contact information
Practice address
3065 ROSECRANS PL STE 108, SAN DIEGO, CA 92110-4854
(619) 640-0321
(619) 435-3158
Mailing address
171 C AVE STE A, CORONADO, CA 92118-1423
(619) 640-0321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4259
CHIROPRACTIC LICENSE
CA
Enumeration date
01/09/2020
Last updated
04/19/2020
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