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Organization
MY LIFE WELL ADJUSTED LLC
Active
Organization
MY LIFE WELL ADJUSTED LLC
Active
Other names
Bangor Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SLOCUM DC (OWNER)
(207) 307-7513
Entity
Organization
Contact information
Practice address
268 STATE ST STE 1, BANGOR, ME 04401-5417
(207) 307-7513
(207) 307-7553
Mailing address
164 MAIN ST STE 3, RICHMOND, ME 04357-4036
(207) 737-2482
(207) 737-2484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR912
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132180000
—
ME
Enumeration date
05/09/2018
Last updated
09/27/2018
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