Provider First Line Business Practice Location Address:
784 BLANDING BLVD
Provider Second Line Business Practice Location Address:
ORANGE PARK CHIROPRACTIC
Provider Business Practice Location Address City Name:
ORANGE PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-272-4555
Provider Business Practice Location Address Fax Number:
904-276-2521
Provider Enumeration Date:
08/02/2006