Provider First Line Business Practice Location Address: 
225 MAIN ST
    Provider Second Line Business Practice Location Address: 
KLONDIKE CHIROPRACTIC
    Provider Business Practice Location Address City Name: 
HAINES
    Provider Business Practice Location Address State Name: 
AK
    Provider Business Practice Location Address Postal Code: 
99827
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
907-766-3555
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/28/2016