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Organization

JEFF DAVIS CHIROPRACTIC CLINCI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID CANON LISTER D.C. (CHIROPRACTOR/OWNER)
(337) 824-6166
Entity
Organization

Contact information

Practice address
214 N CHURCH ST, JENNINGS, LA 70546-5810
(337) 824-6166
Mailing address
214 N CHURCH ST, JENNINGS, LA 70546-5810
(337) 824-6166

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
844
LA

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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