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Organization
LIFE FAMILY CHIROPRACTIC OF PORTLAND, LLC
Active
Organization
LIFE FAMILY CHIROPRACTIC OF PORTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KOSTER DC (MANAGING MEMBER)
(860) 384-0494
Entity
Organization
Contact information
Practice address
234 MAIN ST, PORTLAND, CT 06480-1861
(860) 342-7277
(860) 342-7281
Mailing address
234 MAIN ST, PORTLAND, CT 06480-1861
(860) 342-7277
(860) 342-7281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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