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Individual

DR. JEFFREY JOHN VARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
251 CO RD 120, SUITE B, ST CLOUD, MN 56303-4886
(320) 252-3711
Mailing address
251 COUNTY ROAD 120, SUITE B, SAINT CLOUD, MN 56303-4872
(320) 252-3711

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2457
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3C206CR
BLUE CROSS BLUE SHIELD
MN
05
670028400
MN
Enumeration date
10/06/2006
Last updated
10/02/2012
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