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Organization

BEND CHIROPRACTIC INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMIE ANN BEND DC (OWNER)
(805) 474-4747
Entity
Organization

Contact information

Practice address
172 STATION WAY, ARROYO GRANDE, CA 93420-3367
(805) 474-4747
(805) 474-4247
Mailing address
172 STATION WAY, ARROYO GRANDE, CA 93420-3367
(805) 474-4747
(805) 474-4247

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25548
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OBDC25548
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
04/16/2007
Last updated
08/10/2020
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