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Organization

LIGHTSOURCE CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JODI NICHOLE DINNERMAN DC (OWNER)
(908) 399-3499
Entity
Organization

Contact information

Practice address
16 LEIGH ST, CLINTON, NJ 08809-1412
(908) 238-1081
(908) 238-1082
Mailing address
16 LEIGH ST, CLINTON, NJ 08809-1412
(908) 238-1081
(908) 238-1082

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05797
NJ

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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