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Organization

LIFESTREAM CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH O'TOOL D.C. (MANAGER)
(563) 210-9128
Entity
Organization

Contact information

Practice address
7195 NW 54TH AVE, URBANDALE, IA 50322-6915
(563) 210-9128
Mailing address
7195 NW 54TH AVE, URBANDALE, IA 50322-6915
(563) 210-9128

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007623
IA

Other

Enumeration date
04/09/2013
Last updated
04/09/2013
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