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SUSAN L BLATT CH

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1831159318

Individual Registrant:
 SUSAN L BLATT CH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
367 N MAIN ST SUITE 9 EAGAR, AZ 85925-9676 US
Tel: 928-333-4757  Fax: 928-333-4757

Contact information for business:
367 N MAIN ST SUITE 9 EAGAR, AZ 85925-9676 US
Tel: 928-333-4757  Fax: 928-333-4757

Registration Information:
NPI: 1831159318
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AZ7405

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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