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Individual

DR. ALICIA LYNN CALEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
908 2ND AVE SW, WAVERLY, IA 50677-2910
(319) 352-5353
(319) 352-5353
Mailing address
908 2ND AVE SW, WAVERLY, IA 50677-2910
(319) 352-5353
(319) 352-5353

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007295
IA
111N00000X
Chiropractor
4570
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
370K9CA
BCBS PROVIDER #
MN
05
5691427-00
MN
Enumeration date
04/19/2007
Last updated
04/12/2010
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