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Organization
MOULTON CHIROPRACTIC
Active
Organization
MOULTON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAEL MARIE MOULTON D.C. (CHIROPRACTOR)
(402) 577-0566
Entity
Organization
Contact information
Practice address
621 N MAIN ST, SUITE 415 & 440, GRAPEVINE, TX 76051-9213
(402) 577-0566
Mailing address
2524 BEAR HAVEN DR, GRAPEVINE, TX 76051-3880
(402) 577-0566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13431
TX
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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