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Organization

ADVANCED CHIROPRACTIC BS

Active
Other names
Health Source of BS
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY STOWE (ADMINISTRATOR)
(269) 471-5433
Entity
Organization

Contact information

Practice address
200 N CASS ST, BERRIEN SPRINGS, MI 49103-1161
(269) 471-5433
Mailing address
PO BOX 256, NILES, MI 49120-0256
(269) 471-5433

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
07/18/2015
Last updated
07/18/2015
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