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Organization

KOFORD CHIROPRACTIC CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEANN KOFORD (OWNER)
(320) 826-2320
Entity
Organization

Contact information

Practice address
203 OAK ST, DANUBE, MN 56230
(320) 823-2320
Mailing address
PO BOX 185, DANUBE, MN 56230-0185

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039227800
MN
01
62778KO
BLUE CROSS BLUE SHIELD OF MINNESOTA
MN
Enumeration date
06/02/2009
Last updated
06/02/2009
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