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Organization

MISSION SQUARE CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALAN JEROME TRENT SR. (OWNER)
(334) 676-0166
Entity
Organization

Contact information

Practice address
49 MITCHELL DR, MONTGOMERY, AL 36109-2923
(800) 764-0911
(800) 764-8611
Mailing address
PO BOX 20572, MONTGOMERY, AL 36120-0572
(800) 764-0911
(800) 764-8611

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
03/16/2012
Last updated
03/16/2012
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