Organization
CTIC GREAT CHIROPRACTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA OLSON D.C. (DOCTOR/OWNER)
(661) 942-8686
Entity
Organization
Contact information
Practice address
44967 10TH ST W, LANCASTER, CA 93534-2313
(661) 942-8686
Mailing address
44967 10TH ST W, LANCASTER, CA 93534-2313
(661) 942-8686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
21767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12075
NHIC SOUTHERN
CA
Enumeration date
10/23/2007
Last updated
01/08/2008
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