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Individual
JOSHUA TAIJ WATKINS
Active
Individual
JOSHUA TAIJ WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
457693400
MINNESOTA CARE
MN
01
—
67G17WA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/31/2006
Last updated
09/06/2013
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