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Individual

DR. CAROL JEAN WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1712 JAMES DR, NORTH MANKATO, MN 56003-1804
(507) 385-2000
(507) 385-1933
Mailing address
315 WEBSTER AVE, NORTH MANKATO, MN 56003
(507) 385-2000
(507) 385-1933

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3284
MN
111NX0800X
Orthopedic Chiropractor
3284
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
406223000
MN
Enumeration date
08/31/2006
Last updated
01/30/2019
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