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Organization

ASHLEY A GAINES DC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHLEY AMANDA GAINES D.C (CHIROPRACTOR/OWNER)
(314) 920-6705
Entity
Organization

Contact information

Practice address
4 EXECUTIVE WOODS CT, SWANSEA, IL 62226-2016
(314) 920-6705
Mailing address
4 EXECUTIVE WOODS CT, SWANSEA, IL 62226-2016
(314) 920-6705

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
12/17/2012
Last updated
09/18/2013
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