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Organization
ULTIMATE HEALTH CHIROPRACTIC PROF. LLC
Active
Organization
ULTIMATE HEALTH CHIROPRACTIC PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLEY ANN LARSON D.C. (OWNER)
(605) 448-2499
Entity
Organization
Contact information
Practice address
754 MAIN STREET, BRITTON, SD 57430-0715
(605) 448-2499
Mailing address
12475 426A AVE, LANGFORD, SD 57454-5113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1169
SD
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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