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Individual
DR. DOUGLAS HUNTLEY ANGOVE
Active
Individual
DR. DOUGLAS HUNTLEY ANGOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703
STATE LICENSE #
MN
01
—
59333AN
BCBS OF MN ID
MN
05
—
817527600
—
MN
01
—
OD422AN
BCBS PRACTICE ID
MN
Enumeration date
08/02/2005
Last updated
11/12/2009
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