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MAGNA CHIRO-MED, LLC

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Company Details

Name: MAGNA CHIRO-MED, LLC
Legal type: Name Reservation
Status: Deleted
File Date: 30 Jun 2003 (22 years ago)
Authority Date: 30 Jun 2003 (22 years ago)
Organization Number: 0563034

National Provider Identifier

NPI Number:
1821143009

Authorized Person:

Name:
MS. KELLI BROWN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2707460240

Assumed Names

Name Status Expiration Date
MAGNA CHIRO-MED, LLC Unknown 2003-10-28

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Sources: Kentucky Secretary of State