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TYLOR S ANDERSON D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1861659104

Individual Registrant:
 TYLOR S ANDERSON D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1219 LARK ST  LONGMONT, CO 80501-8914 US
Tel: 720-771-4754  Fax: --

Contact information for business:
1219 LARK ST  LONGMONT, CO 80501-8914 US
Tel: 720-771-4754  Fax: --

Registration Information:
NPI: 1861659104
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CO4817

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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