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DR. HEIDI RENAE BLACK D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1821223546

Individual Registrant:
DR. HEIDI RENAE BLACK D.C.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
804 S ASH ST  YUMA, CO 80759-3042 US
Tel: 970-848-2050  Fax: 970-848-2050

Contact information for business:
804 S ASH ST  YUMA, CO 80759-3042 US
Tel: 970-848-2050  Fax: 970-848-2050

Registration Information:
NPI: 1821223546
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CO6289

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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