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Organization

AVAELI CHIROPRACTIC, LLC

Active
Other names
Breaux Bridge Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN TODD THIBODEAUX D.C. (SOLE MEMBER/CHIROPRACTOR)
(337) 332-2225
Entity
Organization

Contact information

Practice address
1501 REES ST, BREAUX BRIDGE, LA 70517-4309
(337) 332-2225
(337) 332-2225
Mailing address
PO BOX 97, BREAUX BRIDGE, LA 70517-0097
(337) 332-2225
(337) 332-6097

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
12/15/2011
Last updated
12/15/2011
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