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Organization
KEVIN S & TINA S WATT
Active
Organization
KEVIN S & TINA S WATT
Active
Other names
Woodlake Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN S WATT D.C. (CHIROPRACTOR/OWNER)
(209) 334-2366
Entity
Organization
Contact information
Practice address
1110 W KETTLEMAN LN, 27, LODI, CA 95240-6031
(209) 334-2366
(209) 334-2377
Mailing address
1110 W KETTLEMAN LN, 27, LODI, CA 95240-6031
(209) 334-2366
(209) 334-2377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
24027
CA
Other
Enumeration date
07/14/2015
Last updated
09/18/2015
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