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Organization

RESTORE CHIROPRACTIC AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMMA J FOWLER DC (OWNER)
(952) 994-8595
Entity
Organization

Contact information

Practice address
215 3RD ST, GAYLORD, MN 55334
(507) 237-2777
Mailing address
PO BOX 226, GAYLORD, MN 55334-0226
(952) 994-8595

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5968
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346649126
MN
Enumeration date
03/07/2018
Last updated
03/24/2021
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