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Organization
BACK AT EM CHIROPRACTIC, PLCC
Active
Organization
BACK AT EM CHIROPRACTIC, PLCC
Active
Other names
BACK FOR GOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE STOUT (ADMINISTRATOR)
(435) 260-9219
Entity
Organization
Contact information
Practice address
4894 N JEFFERSON ST, PULASKI, NY 13142-4124
(315) 297-0376
Mailing address
4894 N JEFFERSON ST, PULASKI, NY 13142-4124
(315) 297-0376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/19/2020
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