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Organization
PAUL S STATELY D C INC
Active
Organization
PAUL S STATELY D C INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL S STATELY D.C. (OWNER)
(949) 645-6325
Entity
Organization
Contact information
Practice address
275 VICTORIA ST, SUITE 2C, COSTA MESA, CA 92627-1906
(949) 645-6325
(949) 645-6322
Mailing address
275 VICTORIA ST, SUITE 2C, COSTA MESA, CA 92627-1906
(949) 645-6325
(949) 645-6322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-24842
CA
Other
Enumeration date
09/14/2010
Last updated
09/17/2010
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