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Organization
WILSON FAMILY CHIROPRACTIC P.A.
Active
Organization
WILSON FAMILY CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD JAMES WILSON D.C. (PRESIDENT)
(651) 249-4181
Entity
Organization
Contact information
Practice address
6466 KINGS DR, OAKDALE, MN 55128-2523
(651) 249-4181
Mailing address
943 WILDWOOD RD, WHITE BEAR LAKE, MN 55115-1847
(651) 797-4238
(651) 888-2242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5991
MN
Other
Enumeration date
02/09/2015
Last updated
08/26/2015
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