Individual
MASON ELBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 2ND ST, JACKSON, MN 56143-1639
(507) 849-7310
Mailing address
311 2ND ST, JACKSON, MN 56143-1639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5924
MN
Other
Enumeration date
01/07/2013
Last updated
09/30/2014
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