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Organization
HANNON CHIROPRACTIC INC.
Active
Organization
HANNON CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIVE HANNON D.C. (CEO)
(760) 949-0996
Entity
Organization
Contact information
Practice address
16808 MAIN ST, SUITE B, HESPERIA, CA 92345-7922
(760) 949-0996
(760) 949-0777
Mailing address
16808 MAIN ST, SUITE B, HESPERIA, CA 92345-7922
(760) 949-0996
(760) 949-0777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750469995
TYPE 1 NPI
CA
01
—
350055743
RAILROAD MEDICARE
CA
Enumeration date
01/22/2010
Last updated
01/22/2010
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