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Organization
SANDI DOE DC LLC
Active
Organization
SANDI DOE DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDI DOE DC (OWNER)
(856) 401-0102
Entity
Organization
Contact information
Practice address
69 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2952
(856) 401-0102
(856) 374-2345
Mailing address
69 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012-2952
(856) 401-0102
(856) 374-2345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00586300
NJ
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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