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Individual

DR. JACOB P HOLKUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
110 S CENTRAL AVE, BEACH, ND 58621-4001
(701) 872-7520
(701) 872-7521
Mailing address
PO BOX 908, BEACH, ND 58621-0908
(701) 872-7520
(701) 872-7521

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009112
MI
111N00000X
Chiropractor
4356
MN
111N00000X
Chiropractor
Primary
729
ND

Other

Enumeration date
09/29/2006
Last updated
04/17/2017
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