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Individual

DR. JACK ALEXANDER WORLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1709B W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8360
(337) 794-8216
Mailing address
230 W OAK LN, LAKE CHARLES, LA 70605-2808
(337) 794-8216

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007
LA

Other

Enumeration date
02/27/2024
Last updated
03/14/2024
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