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Individual
DR. FAYE E BOLLINGBERG
Active
Individual
DR. FAYE E BOLLINGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
02933
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224817400
—
MN
01
—
61D11BO
INDIVIDUAL BCBS
MN
Enumeration date
11/13/2006
Last updated
05/26/2011
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