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Individual

CRIS A OLDENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1619 DAYTON AVE, #327, SAINT PAUL, MN 55104-6206
(651) 646-3606
Mailing address
1619 DAYTON AVE, #327, SAINT PAUL, MN 55104-6206
(651) 646-3606

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2171
MN

Other

Enumeration date
02/20/2013
Last updated
02/20/2013
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