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Individual

DR. STEPHEN LAYNE JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
101 N AUSTIN AVE, RENSSELAER, IN 47978-2657
(219) 866-7164
(219) 866-0515
Mailing address
101 N AUSTIN AVE, RENSSELAER, IN 47978-2657
(219) 866-7164
(219) 866-0515

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000578A
IN

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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