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Organization

MAXLIFE CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON GRANT HARRISON D.C. (OWNER/CHIROPRACTOR)
(317) 808-5675
Entity
Organization

Contact information

Practice address
9865 E 116TH ST STE 150, FISHERS, IN 46037-9239
(317) 808-5675
Mailing address
9865 E 116TH ST STE 150, FISHERS, IN 46037-9239
(317) 808-5675

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08002304A
IN

Other

Enumeration date
01/25/2014
Last updated
04/25/2014
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