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Organization
LAURENT E WANNER CHIROPRACTIC INC
Active
Organization
LAURENT E WANNER CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENT E WANNER D.C. (DOCTOR OF CHIROPRACTIC)
(707) 465-4132
Entity
Organization
Contact information
Practice address
1000 NORTHCREST DR STE 3, CRESCENT CITY, CA 95531-2317
(707) 465-4132
(707) 465-4132
Mailing address
1000 NORTHCREST DR STE 3, CRESCENT CITY, CA 95531-2317
(707) 465-4132
(707) 465-4132
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC020025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC0200250
—
CA
Enumeration date
10/14/2016
Last updated
10/14/2016
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