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Organization
POLAND CHIROPRACTIC OFFICE
Active
Organization
POLAND CHIROPRACTIC OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE JACKLIN (OFFICE MANAGER)
(909) 866-2100
Entity
Organization
Contact information
Practice address
41656 BIG BEAR BLVD., BIG BEAR LAKE, CA 92315
(909) 866-2100
(909) 866-8731
Mailing address
PO BOX 1828, BIG BEAR LAKE, CA 92315-1828
(909) 866-2100
(909) 866-8731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC12252
CA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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