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Organization
POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC
Active
Organization
POTOCKI FAMILY CHIROPRACTIC AND LASER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THADDEUS JOSEPH POTOCKI DC (OWNER)
(916) 536-0400
Entity
Organization
Contact information
Practice address
5150 SUNRISE BLVD, STE. F1, FAIR OAKS, CA 95628-4939
(916) 536-0400
(916) 536-9039
Mailing address
5150 SUNRISE BLVD., STE. F1, FAIR OAKS, CA 95628-4939
(916) 536-0400
(916) 536-9039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC020349
CA
Other
Enumeration date
10/19/2011
Last updated
09/16/2016
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