Leslie R Quiram, DC
NPI #1467428409 in Bloomington, Illinois
Provider Information
- NPI Number
- 1467428409
- Entity Type
- Individual
- Name
- Leslie R Quiram, DC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 2412 E WASHINGTON ST
- Address 2
- SUITE 9A
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4497
- Phone
- (309) 662-6462
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