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Organization

LEDESMA CHIROPRACTIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY RUIZ LEDESMA D.C. (PRESIDENT)
(541) 207-2824
Entity
Organization

Contact information

Practice address
825 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 955-7246
(541) 471-1928
Mailing address
825 NE 7TH ST, GRANTS PASS, OR 97526-1634
(541) 955-7246
(541) 471-1928

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3611
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J9619
PACIFIC SOURCE
OR
Enumeration date
09/25/2008
Last updated
09/25/2008
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