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Organization

BRIDEGET N URBAN DC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIDGETT NOEL URBAN DC (OWNER)
(330) 360-2225
Entity
Organization

Contact information

Practice address
3958 HARBOR LIGHT LANDING, PORT CLINTON, OH 43452-3876
(330) 360-2225
Mailing address
3958 HARBOR LIGHT LANDING, PORT CLINTON, OH 43452-3876
(330) 360-2225

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2215
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2099349
OH
Enumeration date
02/15/2018
Last updated
02/20/2018
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