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Organization

HEALTHSOURCE CHIROPRACTIC OF ROGERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNNSEY NICOLE JEPSEN D.C. (CHIROPRACTOR/OWNER)
(763) 428-1105
Entity
Organization

Contact information

Practice address
13635 NORTHDALE BLVD, ROGERS, MN 55374-2142
(763) 428-1105
(763) 428-1938
Mailing address
13635 NORTHDALE BLVD, ROGERS, MN 55374-2142
(763) 428-1105
(763) 428-1938

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5238
MN

Other

Enumeration date
09/02/2011
Last updated
12/27/2013
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