Organization
AUGUSTINE SPORTS AND FAMILY CHIROPRACTIC LLC
Active
Other names
Grand Health Chiropractic and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA LEE AUGUSTINE D.C. (MANAGING MEMBER)
(952) 220-2857
Entity
Organization
Contact information
Practice address
1025 SELBY AVE, SUITE 101, SAINT PAUL, MN 55104-6533
(651) 228-9000
(651) 224-2806
Mailing address
1025 SELBY AVE, SUITE 101, SAINT PAUL, MN 55104-6533
(651) 228-9000
(651) 224-2806
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5983
MN
Other
Enumeration date
11/24/2014
Last updated
04/27/2015
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