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Organization

PAIGE CHRIOPRACTIC AND ACUPUNCTURE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BONNIE LEE CLARK (PRACTICE MANAGER)
(802) 732-8054
Entity
Organization

Contact information

Practice address
231 BONNET STREET, MANCHESTER CENTER, VT 05255-0231
(802) 362-6266
(802) 362-6265
Mailing address
231 BONNET STREET, MANCHESTER CENTER, VT 05255-0231
(802) 362-6266
(802) 362-6265

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060075005
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12255508
CAQH
VT
Enumeration date
01/09/2012
Last updated
01/09/2012
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