Individual
DR. JARED MICHAEL GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2137 E MAIN ST, SUITE 2, ROBINSON, IL 62454-3708
(618) 544-3939
(618) 544-2929
Mailing address
2137 E MAIN ST, SUITE 2, ROBINSON, IL 62454-3708
(618) 544-3939
(618) 544-2929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012013
IL
Other
Enumeration date
08/30/2011
Last updated
10/21/2011
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