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Organization

DALE MANSFIELD D.C.

Active
Other names
Mansfield Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DALE L MANDFIELD D.C. (OWNER)
(432) 697-1643
Entity
Organization

Contact information

Practice address
4107 W ILLINOIS AVE, MIDLAND, TX 79703-5526
(432) 697-1643
(432) 694-5259
Mailing address
4107 W ILLIONOIS AVE, MIDLAND, TX 79703
(432) 697-1643
(432) 694-7939

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2347
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000929201
TX
Enumeration date
06/12/2008
Last updated
06/12/2008
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