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Individual

MRS. ANNETTE BARTOSH HEACOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
15 11TH AVE W # 829, LISBON, ND 58054-4306
(701) 680-2031
(701) 683-4943
Mailing address
15 11TH AVE W # 829, LISBON, ND 58054-4306
(701) 680-2031
(701) 683-4943

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
533
ND

Other

Enumeration date
02/21/2007
Last updated
02/23/2021
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