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Organization
PREMIER HEALTH OF SOUTH MINNEAPOLIS LTD
Active
Organization
PREMIER HEALTH OF SOUTH MINNEAPOLIS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY L ESTEBO DC (PRESIDENT OWNER)
(651) 379-1842
Entity
Organization
Contact information
Practice address
1813 E LAKE ST, MINNEAPOLIS, MN 55407-1835
(612) 746-5557
(612) 746-5559
Mailing address
1813 E LAKE ST, MINNEAPOLIS, MN 55407-1835
(612) 746-5557
(612) 746-5559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
09/08/2008
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