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Organization

LAURENT WANNER CHIROPRACTIC, INC

Active
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Organization

LAURENT WANNER CHIROPRACTIC, INC

Active
Other names
WANNER SPORTS & FAMILY CHIROPRACTIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURENT EDWARD WANNER D.C. (OWNER)
(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
DC0200250
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC0200250
—
CA
Enumeration date
10/17/2016
Last updated
10/17/2016
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