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Organization

GENESIS CHIROPRACTIC REHABILITATION NW INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARC D HINES D.C. (OWNER)
(253) 256-4769
Entity
Organization

Contact information

Practice address
12815 CANYON RD E, SUITE K, PUYALLUP, WA 98373-5104
(253) 256-4769
(253) 268-2057
Mailing address
12815 CANYON RD E, SUITE K, PUYALLUP, WA 98373-5104
(253) 256-4769
(253) 268-2057

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002989
WA

Other

Enumeration date
04/09/2008
Last updated
05/21/2020
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