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Organization

MOUNTAIN VIEW CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANE MICHELE DESHAZO (OWNER)
(907) 357-6688
Entity
Organization

Contact information

Practice address
5461 E MAYFLOWER #6, WASILLA, AK 99654
(907) 357-6688
(907) 357-9655
Mailing address
7758 N GOLDCORD CIRCLE, PALMER, AK 99645
(907) 357-6688
(907) 357-9655

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
308
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH03081
AK
Enumeration date
03/27/2007
Last updated
08/22/2020
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