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Organization

DAKOTA SPINE AND SPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEIGHTON MOHL D.C. (PRESIDENT)
(701) 318-4928
Entity
Organization

Contact information

Practice address
300 45TH ST S, #315, FARGO, ND 58103-1189
(701) 893-7877
Mailing address
2722 33 1/2 AVE S, FARGO, ND 58104-8876

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
856
ND

Other

Enumeration date
03/15/2010
Last updated
07/02/2010
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