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Organization
VITAL ELEMENTS HEALING CENTER LLC
Active
Organization
VITAL ELEMENTS HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE RUNYAN DC (OWNER)
(941) 952-1087
Entity
Organization
Contact information
Practice address
9975 VALLEY VIEW RD, EDEN PRAIRIE, MN 55344-3526
(941) 952-1087
Mailing address
16710 24TH AVE N, PLYMOUTH, MN 55447-2212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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