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Sandifer Chiropractic Clinic, INC. P.S.

Chiropractor in Olympia, WA. Organization (NPI-2).

NPI number1457549867
StatusActive
Last updated in NPPESOct 10, 2007

Details

NPI
1457549867
Entity type
Organization (NPI-2)
Legal business name
Sandifer Chiropractic Clinic, INC. P.S.
Organization subpart
No
Enumeration date
Oct 10, 2007
Last updated
Oct 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH00000764WAYes

Practice location

704 Lilly Rd Se
Olympia, WA 98501-2115

Phone 360-491-6310

Mailing address

Po Box 5310
Lacey, WA 98509-5310

Phone 360-491-6310

Authorized official

Leamon C Sandifer
Dr Of Chiropractic
3604916310

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