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Individual

DR. AUSTIN NICHOLAS SIMMONS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
51099 BITTERSWEET RD, STE H, GRANGER, IN 46530-4990
(574) 271-4628
(574) 271-8247
Mailing address
51099 BITTERSWEET RD, STE H, GRANGER, IN 46530-4990
(574) 271-4628
(574) 271-8247

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002355A
IN

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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