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Organization
OPTIMAL SPINE CHIROPRACTIC LLC
Active
Organization
OPTIMAL SPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S KORDONSKI DC (OWNER)
(410) 273-5351
Entity
Organization
Contact information
Practice address
998 HOSPITALITY WAY, SUITE 202, ABERDEEN, MD 21001-1762
(410) 273-5351
Mailing address
998 HOSPITALITY WAY, SUITE 202, ABERDEEN, MD 21001-1762
(410) 273-5351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03412
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316038417
NPI
MD
Enumeration date
08/05/2007
Last updated
08/05/2007
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