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Organization

MOUNTAIN ISLAND CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN KUEBLER DC (OWNER)
(704) 394-8556
Entity
Organization

Contact information

Practice address
10917 BLACK DOG LANE, SUITE 101, CHARLOTTE, NC 28214
(704) 394-8556
Mailing address
10917 BLACK DOG LANE, SUITE 101, CHARLOTTE, NC 28214
(704) 394-8556

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3183
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89085N8
NC
Enumeration date
11/17/2006
Last updated
08/06/2008
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