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Organization

ACTIVE FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRY DANIEL HAZEN D.C. (SOLE MEMBER/OWNER)
(717) 947-7283
Entity
Organization

Contact information

Practice address
4 MYLIN AVE, WILLOW STREET, PA 17584-9305
(717) 947-7283
(717) 947-7284
Mailing address
4 MYLIN AVE, WILLOW STREET, PA 17584-9305
(717) 947-7283
(717) 947-7284

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DC010513
PA

Other

Enumeration date
04/06/2016
Last updated
04/06/2016
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