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Organization

DOC'S BODY SHOP, PLLC

Active
Other names
Office of Dr. Reese R. Petersen, DC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REESE RAYMOND PETERSEN DC (SOLE MEMBER/OWNER)
(563) 259-6173
Entity
Organization

Contact information

Practice address
2418 S 18TH ST, CLINTON, IA 52732-6827
(563) 259-6173
Mailing address
2418 S 18TH ST, CLINTON, IA 52732-6827
(563) 259-6173

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
02/18/2020
Last updated
07/27/2021
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