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Organization

AVON LAKE BACK & NECK, INC.

Active
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Organization

AVON LAKE BACK & NECK, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAD MATTHEW VERNALLIS D.C. (PRESIDENT)
(440) 653-5220
Entity
Organization

Contact information

Practice address
33398 WALKER RD, SUITE D, AVON LAKE, OH 44012-1496
(440) 653-5220
Mailing address
33398 WALKER RD, SUITE D, AVON LAKE, OH 44012-1496
(440) 653-5220

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3749
OH

Other

Enumeration date
08/13/2015
Last updated
08/13/2015
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