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Individual

DR. GINA CHRISTINE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1526 MAHTOMEDI AVENUE, MAHTOMEDI, MN 55115
(651) 407-0802
(651) 407-0812
Mailing address
2730 COUNTY ROAD D E, WHITE BEAR LAKE, MN 55110-5624
(651) 407-0802
(651) 407-0812

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4887
MN
111N00000X
Chiropractor
Primary
MN4887
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
996697000
MN
Enumeration date
01/06/2007
Last updated
03/18/2019
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