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Individual

DR. JACQUELINE ANNETTE SAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
140 HOLMES ST S, SHAKOPEE, MN 55379-1329
(952) 607-8465
Mailing address
110 MAIN ST S, CAMBRIDGE, MN 55008-1621
(952) 607-8465

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6385
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609
ACTIVE PROFESSIONAL FIRM
MN
01
6385
ACTIVE DOCTOR OF CHIROPRACTIC
MN
01
952754500023
LLC CERTIFICATE OF ORGANIZATION
MN
Enumeration date
09/26/2017
Last updated
08/21/2024
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