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Organization
PRECISION SPORT AND SPINE, LLC
Active
Organization
PRECISION SPORT AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER GREYSON WHITE D.C. (OWNER)
(618) 234-4277
Entity
Organization
Contact information
Practice address
4460 N ILLINOIS ST, SUITE 5, SWANSEA, IL 62226-1899
(618) 234-4277
(618) 257-3291
Mailing address
4460 N ILLINOIS ST, SUITE 5, SWANSEA, IL 62226-1899
(618) 234-4277
(618) 257-3291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012766
IL
Other
Enumeration date
03/17/2015
Last updated
03/31/2015
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