Organization
CORPORATE CHIROPRACTIC & MOBILE MEDICAL, INC.
Active
Other names
Lucent Pain Relief & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC VONGUNTEN D.C. (OWNER)
(330) 284-3646
Entity
Organization
Contact information
Practice address
4830 RIDGESIDE CIR SE, CANTON, OH 44707-1133
(330) 284-3646
Mailing address
4830 RIDGESIDE CIR SE, CANTON, OH 44707-1133
(330) 284-3646
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3695
OH
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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