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Organization
GRAND CHIROPRACTIC INC
Active
Organization
GRAND CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD S. BLACK D.C. (PRESIDENT)
(714) 835-1111
Entity
Organization
Contact information
Practice address
630 S GRAND AVE, SUITE #105, SANTA ANA, CA 92705-4164
(714) 835-0244
Mailing address
PO BOX 10729, SANTA ANA, CA 92711-0729
(714) 835-0244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23498
CA
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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