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Organization
RESTORE CHIROPRACTIC AND WELLNESS LLC
Active
Organization
RESTORE CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMA J FOWLER DC (OWNER)
(952) 994-8595
Entity
Organization
Contact information
Practice address
215 3RD ST, GAYLORD, MN 55334
(507) 237-2777
Mailing address
PO BOX 226, GAYLORD, MN 55334-0226
(952) 994-8595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346649126
—
MN
Enumeration date
03/07/2018
Last updated
03/24/2021
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