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Individual

DR. CAROLE SUE KEISTEADT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3215 E BROADWAY, LONG BEACH, CA 90803-5817
(562) 438-9136
Mailing address
229 CORONADO AVE APT B, LONG BEACH, CA 90803-5877
(562) 755-2506

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31966
CA

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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