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Organization

BOULTON SOUL ALIGN CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WHITNEY LYNN BOULTON DC (OWNER)
(916) 337-1404
Entity
Organization

Contact information

Practice address
300 S EL CAMINO REAL STE 202, SAN CLEMENTE, CA 92672-4070
(916) 337-1404
Mailing address
316 CAZADOR LN UNIT C, SAN CLEMENTE, CA 92672-6643
(916) 337-1404

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225612583
NPI TYPE I
CA
01
DC36084
LICENSED DOCTOR OF CHIROPORACTIC
CA
Enumeration date
12/21/2022
Last updated
01/03/2023
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