Organization
VIBRANT LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURADELL HOGANCAMP WILSON D.C. (DOCTOR OF CHIROPRACTIC)
(270) 562-5623
Entity
Organization
Contact information
Practice address
2863 N FRIENDSHIP RD, PADUCAH, KY 42001-8605
(270) 558-3119
Mailing address
2863 N FRIENDSHIP RD, PADUCAH, KY 42001-8605
(270) 558-3119
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5407
KY
Other
Enumeration date
06/06/2016
Last updated
09/06/2016
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