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Organization
VERDAN PA
Active
Organization
VERDAN PA
Active
Other names
Community Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI MARIE DANIELSON (OFFICE MGR.)
(763) 566-8023
Entity
Organization
Contact information
Practice address
13060 CENTRAL AVE NE, SUITE 100, BLAINE, MN 55434-4149
(763) 566-8023
(763) 566-0630
Mailing address
13060 CENTRAL AVE NE, SUITE 100, BLAINE, MN 55434-4149
(763) 566-8023
(763) 566-0630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4619
MN
Other
Enumeration date
11/07/2007
Last updated
07/01/2015
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