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Organization

PERFORMANCE REHAB AND CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM E. VAUGHN D.C. (PRESIDENT)
(608) 825-8801
Entity
Organization

Contact information

Practice address
1010 N BIRD ST, SUN PRAIRIE, WI 53590-1174
(608) 825-8801
Mailing address
1010 N BIRD ST, SUN PRAIRIE, WI 53590-1174
(608) 825-8801

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4411-012
WI

Other

Enumeration date
08/13/2009
Last updated
08/13/2009
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