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Organization
ADVANCED WELLNESS CHIROPRACTIC AND FUNCTIONAL REHAB LLC
Active
Organization
ADVANCED WELLNESS CHIROPRACTIC AND FUNCTIONAL REHAB LLC
Active
Other names
Advanced Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ANTHONY BUESTETON DC (DOCTOR OF CHIROPRACTIC/ OWNER)
(618) 462-6630
Entity
Organization
Contact information
Practice address
231 E DELMAR RD, ALTON, IL 62002-5935
(618) 462-6630
(618) 462-6640
Mailing address
231 E DELMAR RD, ALTON, IL 62002-5935
(618) 462-6630
(618) 462-6640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011560
IL
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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