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Individual
JAY K LANG
Active
Individual
JAY K LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3544
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350041435
MEDICARE RR
—
01
—
6C186LA
BCBS
—
05
—
778527500
—
MN
Enumeration date
08/18/2006
Last updated
06/21/2011
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