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Organization
JK7 PROMISLAND, INC.
Active
Organization
JK7 PROMISLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LEON SHIRLEY (OWNER)
(903) 509-8000
Entity
Organization
Contact information
Practice address
6775 OLD JACKSONVILLE HWY # 2, TYLER, TX 75703-0508
(903) 509-8000
Mailing address
4828 S BROADWAY AVE # 142, TYLER, TX 75703-1312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4994
TX
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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