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Organization

SHADY COVE CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINA EILERTSON DC (OWNER/CHIROPRACTOR)
(541) 282-4640
Entity
Organization

Contact information

Practice address
21885 OR-62, SHADY COVE, OR 97539
(541) 878-3603
Mailing address
832 MOUNTAIN VIEW DR, EAGLE POINT, OR 97524-5616

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
12/03/2021
Last updated
12/03/2021
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