Organization
BREATH OF LIFE CHIROPRACTIC WELLNESS CENTER
Active
Other names
Breath of Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAE A DORAN D.C., CACCP (OWNER)
(920) 419-1457
Entity
Organization
Contact information
Practice address
1703 S ONEIDA ST, SUITE C, APPLETON, WI 54915-1524
(920) 419-1457
Mailing address
3701 S JOHANN DR, APPLETON, WI 54915-7066
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4205-12
WI
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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