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Organization

ENSLEY CHIROPRACTIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT DANA ENSLEY DC (PRESIDENT)
(707) 426-3655
Entity
Organization

Contact information

Practice address
1313 TRAVIS BLVD, SUITE B, FAIRFIELD, CA 94533-4621
(707) 426-3655
Mailing address
1313 TRAVIS BLVD., SUITE B, FAIRFIELD, CA 94533
(707) 426-3655

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC012399
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12399
LICENSE
CA
Enumeration date
03/18/2011
Last updated
05/16/2012
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