Individual
DR. RANDAL JOSEPH JACKLITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
645 LAKE AVE S, PAYNESVILLE, MN 56362-1736
(320) 243-7412
(320) 243-7170
Mailing address
208 W JAMES ST, P.O. BOX 79, PAYNESVILLE, MN 56362-1219
(320) 243-7412
(320) 243-7170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2434
MN
Other
Enumeration date
05/13/2006
Last updated
08/31/2016
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