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Organization

COTTON CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRAD A COTTON DC (OWNER/CHIROPRACTOR)
(309) 208-3094
Entity
Organization

Contact information

Practice address
901 W GLEN AVE, SUITE A, PEORIA, IL 61614-4839
(309) 693-1212
(309) 693-2147
Mailing address
901 W GLEN AVE, SUITE A, PEORIA, IL 61614-4839
(309) 693-1212
(309) 693-2147

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009460
IL

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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