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Organization

509 CHIROPRACTIC LLC

Active
Other names
HealthSource Chiropractic of Pasco
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHON MERRELL HESLOP D.C. (CHIROPRACTOR)
(509) 346-5822
Entity
Organization

Contact information

Practice address
1211 N 20TH AVE, PASCO, WA 99301-4051
(509) 547-1759
Mailing address
1211 N 20TH AVE, PASCO, WA 99301-4051
(509) 547-1759

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
60789723
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0403568
LNI NUMBER
WA
01
60789723
CHIROPRACTIC LICENSE
WA
Enumeration date
10/31/2017
Last updated
10/10/2019
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