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Organization

GODFREY CHIROPRACTIC CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI BAYER (OFFICE MANAGER)
(320) 762-8185
Entity
Organization

Contact information

Practice address
119 6TH AVE E, ALEXANDRIA, MN 56308-1801
(320) 762-8185
(320) 762-8186
Mailing address
119 6TH AVE E, ALEXANDRIA, MN 56308-1801
(320) 762-8185
(320) 762-8186

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1436
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
499325000
MN
Enumeration date
02/13/2007
Last updated
02/18/2015
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