Individual
VIRGINA RAE SHINABARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
121 DIVISION, MAPLE LAKE, MN 55358
(320) 963-6003
Mailing address
121 DIVISION, PO BOX 221, MAPLE LAKE, MN 55358
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2681
MN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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