Individual
CHERYL KOELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
571 MARKET ST, ST AUGUSTINE, FL 32095-6827
(904) 321-9418
Mailing address
571 MARKET ST, ST AUGUSTINE, FL 32095-6827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH-11958
FL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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