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Individual

CLINTON ALLEN BONN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
508 W 4TH ST, MADISON, MN 56256-1426
(320) 598-3089
(320) 598-3089
Mailing address
508 W 4TH ST, MADISON, MN 56256-1426
(320) 598-3089
(320) 598-3089

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3882
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
721157100
MN
Enumeration date
07/14/2006
Last updated
01/14/2009
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