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Organization

CHIROPRACTIC LIFE CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES R. GLENN D.C. (OWNER/PHYSICIAN)
(352) 686-2554
Entity
Organization

Contact information

Practice address
3427 MARINER BLVD, SPRING HILL, FL 34609-2463
(352) 686-2554
(352) 686-3302
Mailing address
3427 MARINER BLVD, SPRING HILL, FL 34609-2463
(352) 686-2554
(352) 686-3302

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
09/10/2015
Last updated
09/10/2015
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