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Organization

PRECISION CHIROPRACTIC & WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES RYAN CIAVARELLA (OWNER)
(763) 475-8281
Entity
Organization

Contact information

Practice address
3515 PLYMOUTH BLVD STE 206, PLYMOUTH, MN 55447-1382
(763) 475-8281
Mailing address
3515 PLYMOUTH BLVD STE 206, PLYMOUTH, MN 55447-1382

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4169
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2513935-00
MN
Enumeration date
08/06/2007
Last updated
10/20/2015
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