Individual
JUSTIN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
119 6TH AVE E, ALEXANDRIA, MN 56308-1801
(320) 762-8185
Mailing address
301 W 8TH AVE APT 12, OSAKIS, MN 56360-8297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4913
MN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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