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Organization
WELLNESS COOPERATIVE LLC
Active
Organization
WELLNESS COOPERATIVE LLC
Active
Other names
Grandave Natural Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA J HAGUE DC (OWNER)
(651) 292-0050
Entity
Organization
Contact information
Practice address
976 GRAND AVE., ST. PAUL, MN 55105
(651) 292-0050
(651) 292-1076
Mailing address
976 GRAND AVE., ST. PAUL, MN 55105
(651) 292-0050
(651) 292-1076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4667
MN
Other
Enumeration date
03/20/2009
Last updated
11/24/2014
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