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Organization

MESTDAGH CHIROPRACTIC CORP

Active
Other names
Columbia Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURIE ROBERT MESTDAGH D.C. (PRESIDENT)
(618) 281-6167
Entity
Organization

Contact information

Practice address
1550 N MAIN ST, COLUMBIA, IL 62236-1070
(618) 281-6167
(618) 281-4444
Mailing address
1550 N MAIN ST, COLUMBIA, IL 62236-1070
(618) 281-6167
(618) 281-4444

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
01/28/2011
Last updated
01/28/2011
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