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Individual

JASON GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3631 SOUTH SIXTH STREET, SPRINGFIELD, IL 62703-4777
(217) 391-5446
Mailing address
3631 SOUTH SIXTH STREET, SPRINGFIELD, IL 62703-4777
(217) 391-5446

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010324
IL

Other

Enumeration date
04/24/2007
Last updated
01/03/2011
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