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Individual

DR. JONATHAN JAMES TAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
14501 GRANADA DR, SUITE 101, APPLE VALLEY, MN 55124-6315
(952) 431-3003
(952) 431-3016
Mailing address
7802 172ND W ST, LAKEVILLE, MN 55044-9569
(952) 431-3003

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4900
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21913000
MN
Enumeration date
01/24/2007
Last updated
12/18/2015
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