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Organization
JERRY KOSAK CHIROPRACTIC, INC.
Active
Organization
JERRY KOSAK CHIROPRACTIC, INC.
Active
Other names
KOSAK CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA M. PERRIN (OFFICE MANAGER)
(707) 426-1111
Entity
Organization
Contact information
Practice address
1252 TRAVIS BLVD STE G, FAIRFIELD, CA 94533-4840
(707) 426-1111
(707) 426-2725
Mailing address
1252 TRAVIS BLVD STE G, FAIRFIELD, CA 94533-4840
(707) 426-1111
(707) 426-2725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25538
CA
Other
Enumeration date
06/15/2007
Last updated
08/21/2019
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