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Organization
PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC
Active
Organization
PRO HEALTH SPORTS AND WELLNESS CENTER CHESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK LAWLOR D.C. (AUTHORIZED OFFICIAL)
(973) 627-7888
Entity
Organization
Contact information
Practice address
169 ROUTE 206, CHESTER, NJ 07930
(973) 627-7888
(973) 627-7040
Mailing address
161 E MAIN ST, DENVILLE, NJ 07834-2647
(973) 627-7888
(973) 627-7040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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