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Organization
SOURCE WELLNESS CENTER OF METUCHEN LLC
Active
Organization
SOURCE WELLNESS CENTER OF METUCHEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BILQUIST D.C. (OWNER)
(732) 978-0951
Entity
Organization
Contact information
Practice address
173 ESSEX AVE STE 103, METUCHEN, NJ 08840-2281
(732) 978-0951
Mailing address
1204 LAUREL AVE, SEA GIRT, NJ 08750-2410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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