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Organization

CRAWFORD CHIROPRACTIC, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JARED MICHAEL GULLETT D.C. (PRESIDENT)
(618) 554-5132
Entity
Organization

Contact information

Practice address
2137 E MAIN ST, SUITE 2, ROBINSON, IL 62454-3708
(618) 554-5132
Mailing address
8328 N 1075TH ST, ROBINSON, IL 62454-5928
(618) 554-5132

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038012013
IL

Other

Enumeration date
08/30/2011
Last updated
08/30/2011
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