BROCK CHIROPRACTIC INC PC
Chiropractic at Riata Valley Rd, Kingman, AZ

License number
Arizona 7584
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. JERI LYNN BROCK D.C.
Title: PRESIDENT
Phone: (928) 757-9361
Address
Address
410 Riata Valley Rd, Kingman, AZ 86409
National Provider ID: 1164582664
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BROCK CHIROPRACTIC INC., PC

410 Riata Vly Rd, Kingman, AZ 86409

Status:
Inactive
Industry:
Chiropractor's Office
Doing business as:
Brock Chiropractic Inc P C
Inactive reason:
Ad-dissolved-file annual report
Registration:
Jun 6, 2007
Inactive since:
Nov 13, 2013
State ID:
-1370922-5
Expiration:
PERPETUAL
Dc, President, Principals:
Dr Jeri Brock Dc (President), 410 Riata Vly Rd, Kingman, AZ 86409 (Physical),Jeri Brock (Dc, President, Principal)
Agent:
Dr Jeri L Brock Dc,410 Riata Vly Rd, Kingman, AZ 86409 (Physical)

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