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Organization

WELLNESS CONCEPTS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL REAVIS-ALEMAN (ACUPUNCTURIST)
(417) 877-1300
Entity
Organization

Contact information

Practice address
1200 E WOODHURST DR, SUITE R300, SPRINGFIELD, MO 65804-4261
(417) 877-1300
(417) 877-1335
Mailing address
1200 E WOODHURST DR, SUITE R300, SPRINGFIELD, MO 65804-4261
(417) 877-1335

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007008411
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2002030343
LICENSE
MO
01
2010000775
LICENSE
MO
Enumeration date
05/12/2011
Last updated
05/12/2011
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