Individual
DR. SANDRA LEA SPORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN DC DABCI DACBN
Contact information
Practice address
1530 W FRONTAGE RD, VALLEY RIDGE MALL, STILLWATER, MN 55082
(651) 439-1013
(651) 439-3465
Mailing address
1530 W FRONTAGE RD, VALLEY RIDGE MALL, STILLWATER, MN 55082
(651) 439-1013
(651) 439-3465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2810
MN
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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