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Organization

CONSTANTIN CHIROPRACTIC CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PIERRE R CONSTANTIN DC (CHIROPRACTOR)
(360) 384-4611
Entity
Organization

Contact information

Practice address
2017 MAIN ST, FERNDALE, WA 98248-1992
(360) 384-4611
(360) 384-2574
Mailing address
PO BOX 1992, FERNDALE, WA 98248-1992
(360) 384-4611
(360) 384-2574

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001782
WA
111N00000X
Chiropractor
CH00002045
WA
111N00000X
Chiropractor
CH00034646
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2091205
WA
Enumeration date
01/31/2007
Last updated
10/11/2007
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