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Organization
SAM KHUMOORO CHIROPRACTIC PROFESSINAL CORPORATION
Active
Organization
SAM KHUMOORO CHIROPRACTIC PROFESSINAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM PUTRES KHUMOORO D.C. (CHIROPRACTOR)
19098380134
Entity
Organization
Contact information
Practice address
23080 ALESSANDRO BLVD, STE. 204, MORENO VALLEY, CA 92553-9673
(951) 571-4090
(951) 571-4091
Mailing address
23080 ALESSANDRO BLVD, STE. 204, MORENO VALLEY, CA 92553-9673
(951) 571-4090
(951) 571-4091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25727
CA
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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