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Organization

VAAGENES CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY JON VAAGENES SR. DC (OWNER)
(651) 415-0446
Entity
Organization

Contact information

Practice address
470 HIGHWAY 96 W, SUITE 160, SHOREVIEW, MN 55126-1996
(651) 415-0446
(651) 415-0447
Mailing address
2508 HIGHWAY 70, PO BOX 385, BRAHAM, MN 55006-3759
(651) 415-0446
(651) 415-0447

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3144
MN

Other

Enumeration date
06/17/2013
Last updated
06/25/2013
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