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Organization
ACTIVE LIFE CHIROPRACTIC CENTER, LLC
Active
Organization
ACTIVE LIFE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M LEWIS D.C. (OWNER)
(937) 424-9281
Entity
Organization
Contact information
Practice address
385 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-4705
(937) 424-9281
Mailing address
385 MIAMISBURG CENTERVILLE RD, DAYTON, OH 45459-4705
(937) 424-9281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3770
OH
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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