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Organization

BALANCE MULTICARE, PLC

Active
Other names
HealthSource Chiropractic & Progressive Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW JACK NELSON III D.C. (OWNER)
(928) 778-7996
Entity
Organization

Contact information

Practice address
936 12TH PL, PRESCOTT, AZ 86305-1436
(928) 778-7996
(928) 442-3324
Mailing address
936 12TH PL, PRESCOTT, AZ 86305-1436
(928) 778-7996
(928) 442-3324

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8008
AZ

Other

Enumeration date
07/13/2006
Last updated
08/22/2020
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