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Individual

COLLEEN A CLAUSEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3060 WOODBURY DR, SUITE A, WOODBURY, MN 55129-9617
(651) 731-5124
(651) 731-0509
Mailing address
3060 WOODBURY DR, SUITE A, WOODBURY, MN 55129-9617
(651) 731-5124
(651) 731-0509

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3190
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
321P4CL
BCBS
MN
Enumeration date
06/12/2006
Last updated
07/08/2007
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