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Organization
BOULEVARD NATURAL HEALING ARTS, PA
Active
Organization
BOULEVARD NATURAL HEALING ARTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MASANZ DC (PRESIDENT)
(763) 566-9330
Entity
Organization
Contact information
Practice address
6142 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-4032
(763) 566-9330
Mailing address
6142 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-4032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2840
MN
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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