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Organization

INSPIRING VITALITY WELLNESS INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARYL LEE COOPER DC (OWNER)
(715) 808-0716
Entity
Organization

Contact information

Practice address
2920 ENLOE ST, SUITE 105, HUDSON, WI 54016-8190
(715) 808-0716
(715) 808-0807
Mailing address
2920 ENLOE ST, SUITE 105, HUDSON, WI 54016-8190
(715) 808-0716
(715) 808-0807

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1664-012
WI
261Q00000X
Clinic/Center

Other

Enumeration date
07/08/2010
Last updated
10/26/2017
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