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Organization

DR. MISTY KOSCIUSKO DBA NEW HORIZON CHIROPRACTIC & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MISTY BECK KOSCIUSKO DC, MS (CHIROPRACTIC PHYSICIAN)
(401) 474-0423
Entity
Organization

Contact information

Practice address
934 E MAIN RD, UNIT A, PORTSMOUTH, RI 02871-2341
(401) 474-0423
Mailing address
934 E MAIN RD, UNIT A, PORTSMOUTH, RI 02871-2341
(401) 474-0423

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DC00594
RI

Other

Enumeration date
05/04/2011
Last updated
07/15/2011
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