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Organization

BACK IN ACTION LLC

Active
Other names
Madison Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY JAMES LEBRE D.C. (OWNER)
(812) 273-4377
Entity
Organization

Contact information

Practice address
3641 CLIFTY DR, MADISON, IN 47250-1649
(812) 273-4377
(812) 273-4377
Mailing address
3641 CLIFTY DR, MADISON, IN 47250-1649
(812) 273-4377
(812) 273-4377

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
08001312A
IN

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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