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Organization
EXO CHIROPRACTIC, LLC
Active
Organization
EXO CHIROPRACTIC, LLC
Active
Other names
ProActive Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE RENEE MAYFIELD DC (OWNER)
(636) 464-8360
Entity
Organization
Contact information
Practice address
12370 OLIVE BLVD, CREVE COEUR, MO 63141-6443
(314) 485-1442
(314) 485-1446
Mailing address
101 RICHARDSON XING, ARNOLD, MO 63010-6006
(636) 464-8360
(636) 464-2180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NULL
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
01/13/2019
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