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Organization

TIM COINER DC INC

Active
Other names
Lifestyle Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
TIM JOSEPH COINER DC (PRESIDENT)
(208) 736-8818
Entity
Organization

Contact information

Practice address
777 ADDISON AVE, TWIN FALLS, ID 83301-5266
(208) 736-8818
(208) 736-8828
Mailing address
777 ADDISON AVE, TWIN FALLS, ID 83301-5266
(208) 736-8818
(208) 736-8828

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA658
ID

Other

Enumeration date
07/21/2006
Last updated
12/19/2007
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