Individual
DR. LAURA JOY GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1910 LUCILLE AVE, KINGMAN, AZ 86401-4693
(928) 753-2047
(928) 753-2020
Mailing address
1910 LUCILLE AVE, KINGMAN, AZ 86401-4693
(928) 753-2047
(928) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7348
AZ
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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