Individual
CHARISE A PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSDC
Contact information
Practice address
113 E GRANT ST, REPUBLIC, MO 65738-1336
(417) 732-2682
Mailing address
113 E GRANT ST, REPUBLIC, MO 65738-1336
(417) 732-2682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MOCE005730
MO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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