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Organization

100 CHIROPRACTIC GRANT SE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE GRANT DC (OWNER)
(858) 524-1091
Entity
Organization

Contact information

Practice address
1217 SAN ELIJO RD S STE 101, SAN MARCOS, CA 92078-1172
(209) 498-4085
Mailing address
20551 N PIMA RD STE 100, SCOTTSDALE, AZ 85255-9154

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
07/07/2025
Last updated
10/20/2025
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