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Individual

DR. WILLIAM C HARRALSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3015 UTAH AVE S, SUITE 200, SAINT LOUIS PARK, MN 55426-3671
(952) 933-1121
(952) 945-9635
Mailing address
3015 UTAH AVE S, SUITE 200, SAINT LOUIS PARK, MN 55426-3671
(952) 933-1121
(952) 945-9635

Taxonomy

Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
3746
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3746
LICENSE
MN
Enumeration date
06/12/2006
Last updated
07/09/2007
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