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Organization
ROSE CHIROPRACTIC, P.C.
Active
Organization
ROSE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA RUTH ROSE DC (OWNER)
(716) 754-9039
Entity
Organization
Contact information
Practice address
435 RIDGE ST, LEWISTON, NY 14092-1205
(716) 754-9039
(716) 754-9064
Mailing address
435 RIDGE ST, LEWISTON, NY 14092-1205
(716) 754-9039
(716) 754-9064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002901-1
NY
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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