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Organization

J. B. EGBERT CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN B. EGBERT (OWNER)
(208) 356-8818
Entity
Organization

Contact information

Practice address
1134 BOND AVE, REXBURG, ID 83440-3582
(208) 356-8818
(208) 356-0458
Mailing address
1134 BOND AVE, REXBURG, ID 83440-3582

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 1449
ID

Other

Enumeration date
08/16/2011
Last updated
08/24/2011
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