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Organization

HOME TOWN CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NASH ELIJAH SMALLEY D.C. (DOCTOR OF CHIROPRACTIC)
(417) 295-1008
Entity
Organization

Contact information

Practice address
113 W 12TH ST, LAMAR, MO 64759-1756
(417) 295-1008
Mailing address
113 W 12TH ST, LAMAR, MO 64759-1756
(417) 295-1008

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230103272
MO
Enumeration date
10/28/2022
Last updated
11/07/2022
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