Provider First Line Business Practice Location Address:
545 W STATE ST STE 9
Provider Second Line Business Practice Location Address:
BACK IN BALANCE CHIROPRACTIC
Provider Business Practice Location Address City Name:
HURRICANE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84737-2271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-635-0614
Provider Business Practice Location Address Fax Number:
435-635-0661
Provider Enumeration Date:
08/11/2005