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Organization
POURTEYMOOR CHIROPRACTIC, A PROFESSIONAL CORPORATION
Active
Organization
POURTEYMOOR CHIROPRACTIC, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAHDIR POURTEYMOOR D.C. (CHIROPRACTOR-PRESIDENT)
(909) 549-3535
Entity
Organization
Contact information
Practice address
789 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 519-1557
Mailing address
789 W 9TH ST, SAN PEDRO, CA 90731-3601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
32034
CA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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