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Individual

DR. TARYN ROSE YURICH NYBLOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
911 MAIN ST S, CAMBRIDGE, MN 55008-2125
(763) 689-1110
(763) 552-1110
Mailing address
911 MAIN ST S, CAMBRIDGE, MN 55008-2125
(763) 689-1110
(763) 552-1110

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003395
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203D5NY
BCBS PROVIDER NUMBER
MN
01
6C485EA
BCBS CLINIC NUMBER
MN
Enumeration date
01/22/2007
Last updated
07/09/2007
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