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Organization
LIFE CHIROPRACTIC CLINICS INC.
Active
Organization
LIFE CHIROPRACTIC CLINICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M FULLMER D.C. (OWNER)
(301) 576-4023
Entity
Organization
Contact information
Practice address
10800 LOCKWOOD DR, SUITE 204, SILVER SPRING, MD 20901-1554
(301) 576-4023
(301) 576-6477
Mailing address
10800 LOCKWOOD DR, SUITE 204, SILVER SPRING, MD 20901-1554
(301) 576-4023
(301) 576-6477
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
S03493
MD
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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