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Organization

CAMACHO CHIROPRACTIC CLINIC LLC

Active
Parent organization
CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC
Authorized official
DR. JUAN RAMON CAMACHO DC (OWNER/CHIROPRACTOR)
(509) 305-5163
Entity
Organization

Contact information

Practice address
127 FRONTIER WAY SW, MATTAWA, WA 99349-2092
(509) 203-7666
(509) 203-7664
Mailing address
127 FRONTIER WAY SW, MATTAWA, WA 99349-2092
(509) 203-7666
(509) 203-7664

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
225700000X
Massage Therapist

Other

Enumeration date
10/17/2020
Last updated
10/17/2020
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