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Organization

LIFETIME CHIROPRACTIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY LOU PETRY D.C. (PRESIDENT)
(701) 839-2010
Entity
Organization

Contact information

Practice address
1050 31ST AVE SW STE C, MINOT, ND 58701-2005
(701) 839-2010
(701) 838-3497
Mailing address
1050 31ST AVE SW STE C, MINOT, ND 58701-2005
(701) 839-2010

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
854
ND

Other

Enumeration date
01/11/2010
Last updated
02/08/2010
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