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Organization
PURE LEGACY, LLC
Active
Organization
PURE LEGACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASHA RENEE SMITH D.C. (SOLE MEMBER)
(806) 790-4951
Entity
Organization
Contact information
Practice address
107 W CALIFORNIA ST, FLOYDADA, TX 79235-2724
(806) 983-3119
Mailing address
PO BOX 276, FLOYDADA, TX 79235-0276
(806) 983-3119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11851
TX
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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