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Organization

ANGOLA FAMILY CHIROPRACTIC & INTEGRATIVE HEALING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMIE FIDLER DC (OWNER)
(260) 667-8269
Entity
Organization

Contact information

Practice address
114 E MAUMEE ST STE 101, ANGOLA, IN 46703-1978
(260) 667-8269
Mailing address
114 E MAUMEE ST STE 101, ANGOLA, IN 46703-1978

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942724836
NPI
Enumeration date
12/18/2018
Last updated
12/18/2018
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