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Individual

THEA S KILLEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5740 BROOKLYN BLVD, 100, BROOKLYN CENTER, MN 55429
(763) 561-4045
(763) 561-8690
Mailing address
5740 BROOKLYN BLVD, 100, BROOKLYN CENTER, MN 55429
(763) 561-4045
(763) 561-8690

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3959
MN

Other

Enumeration date
07/13/2006
Last updated
07/08/2007
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