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Individual

SAMUEL THOMAS HENLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2804 FORUM BLVD STE 1A, COLUMBIA, MO 65203-6322
(573) 446-4949
Mailing address
2804 FORUM BLVD, STE 1A, COLUMBIA, MO 65203-6322
(573) 356-1876

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011005133
MO

Other

Enumeration date
02/23/2011
Last updated
07/12/2016
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