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Organization
DAVENPORT CHIROPRACTIC CLINIC LLC
Active
Organization
DAVENPORT CHIROPRACTIC CLINIC LLC
Active
Other names
Davenport Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL POULSEN (OFFICE MANAGER)
(307) 350-0413
Entity
Organization
Contact information
Practice address
714 DEWAR DR, ROCK SPRINGS, WY 82901-5911
(307) 382-0667
(307) 382-0668
Mailing address
714 DEWAR DR, ROCK SPRINGS, WY 82901-5911
(307) 382-0667
(307) 382-0668
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
05/02/2022
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