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Organization
YALICH CLINIC
Active
Organization
YALICH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM DOUGLAS (OFFICE MANAGER)
(443) 749-0001
Entity
Organization
Contact information
Practice address
331 OAK MANOR DR, GLEN BURNIE, MD 21061-5548
(410) 766-4878
Mailing address
1609 CHESTON LN APT E, HANOVER, MD 21076-1410
(567) 203-8601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03916
MD
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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