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Organization

PIVOTAL FAMILY CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE MINER DC (OWNER)
(320) 582-0582
Entity
Organization

Contact information

Practice address
16731 HIGHWAY 13 S STE 107A, PRIOR LAKE, MN 55372-2975
(320) 582-0582
Mailing address
16731 HIGHWAY 13 S STE 107A, PRIOR LAKE, MN 55372-2975
(320) 582-0582

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/07/2021
Last updated
12/03/2021
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