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Organization

CARLILE CHIROPRACTIC LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN STEPHEN CARLILE BSDC (OWNER)
(907) 374-9331
Entity
Organization

Contact information

Practice address
1222 WELL ST, FAIRBANKS, AK 99701-2835
(907) 374-9331
(907) 374-9276
Mailing address
PO BOX 70690, FAIRBANKS, AK 99707-0690
(907) 474-9331
(907) 374-9276

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
438
AK

Other

Enumeration date
10/07/2008
Last updated
10/07/2008
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