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Organization

CHIROPRACTIC SUPPLY NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BLAINE ALAN FORD DC (PRESIDENT)
(435) 867-8986
Entity
Organization

Contact information

Practice address
96 N MAIN ST, STE 103, CEDAR CITY, UT 84720-3055
(435) 867-8986
(435) 867-6233
Mailing address
96 N MAIN ST, STE103, CEDAR CITY, UT 84720-3055
(435) 867-8986
(435) 867-6233

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3346421202
UT

Other

Enumeration date
01/03/2012
Last updated
01/03/2012
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