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Organization

WESTSIDE CHIROPRACTIC CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA IRENE OWEN CHIROPRACTIC PHYSICI (PRESIDENT)
(954) 745-8380
Entity
Organization

Contact information

Practice address
8430 W BROWARD BLVD STE 250, PLANTATION, FL 33324-2704
(954) 476-3016
Mailing address
8430 W BROWARD BLVD STE 250, PLANTATION, FL 33324-2704
(954) 745-8838

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH7610
FL

Other

Enumeration date
02/09/2010
Last updated
02/09/2010
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