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Organization

GONSTEAD FAMILY CHIROPRACTIC, LLC

Active
Other names
Gonstead Family Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
JARED M PRESTON D.C. (CHIROPRACTOR)
(801) 747-0770
Entity
Organization

Contact information

Practice address
1121 E 3900 S, BUILDING C SUITE 222, SALT LAKE CITY, UT 84124-1214
(801) 747-0770
(801) 747-0771
Mailing address
1121 E 3900 S, BUILDING C SUITE 222, SALT LAKE CITY, UT 84124-1214
(801) 747-0770
(801) 747-0771

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
369441-1202
UT

Other

Enumeration date
09/06/2006
Last updated
06/08/2011
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