Individual
TAYLOR CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
12 ELSTON RD, LAFAYETTE, IN 47909-7000
(765) 477-7707
(765) 477-7770
Mailing address
116 E PEARL ST, WINAMAC, IN 46996-1311
(574) 946-4113
(574) 846-4552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002810A
IN
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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