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100 Percent Chiropractic Pueblo One

Chiropractor in Pueblo West, CO. Organization (NPI-2).

NPI number1962863068
StatusActive
Last updated in NPPESMar 16, 2016

Details

NPI
1962863068
Entity type
Organization (NPI-2)
Legal business name
100 Percent Chiropractic Pueblo One
Organization subpart
No
Enumeration date
Mar 16, 2016
Last updated
Mar 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor0007367COYes

Practice location

1021 N Market Plz
102
Pueblo West, CO 81007-1531

Phone 719-251-7708

Mailing address

1021 N Market Plz
102
Pueblo West, CO 81007-1531

Phone 719-251-7708

Authorized official

Michael Peterson
Owner/Manager
7192517708

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