Individual
JON GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 PAQUIN AVE, BIDDEFORD, ME 04005
(207) 571-4004
(207) 571-4004
Mailing address
22 PAQUIN AVE, BIDDEFORD, ME 04005-2113
(207) 571-4004
(207) 571-4004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1389
ME
Other
Enumeration date
03/28/2006
Last updated
03/12/2010
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