Organization
SOUTH LEBANON CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BOLERA D.C. (OWNER/OPERATOR)
(740) 876-8298
Entity
Organization
Contact information
Practice address
215 E FOREST AVE, SOUTH LEBANON, OH 45065-1311
(740) 876-8298
Mailing address
215 E FOREST AVE, SOUTH LEBANON, OH 45065-1311
(740) 876-8298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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