Individual
DR. ANDREA LEE JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 E HUDSON ST, MONDOVI, WI 54755-1609
(715) 926-3919
Mailing address
129 E HUDSON ST, MONDOVI, WI 54755-1609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5060-12
WI
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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