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Organization
THE PAIN RELIEF CENTER OF GREENVILLE, P.C.
Active
Organization
THE PAIN RELIEF CENTER OF GREENVILLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY R CLARK (DOCTOR OF CHIROPRACTIC)
(618) 664-0111
Entity
Organization
Contact information
Practice address
555 E HARRIS AVE, GREENVILLE, IL 62246-2213
(618) 664-0111
Mailing address
555 E HARRIS AVE, GREENVILLE, IL 62246-2213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
05/21/2007
Last updated
10/09/2007
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