Individual
DR. BLONG BLIAXA VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
393 DUNLAP ST N STE 302, SAINT PAUL, MN 55104-4207
(651) 210-9657
(651) 493-4682
Mailing address
393 DUNLAP ST N STE 302, SAINT PAUL, MN 55104-4207
(651) 210-9657
(651) 493-4682
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4471
MN
Other
Enumeration date
11/07/2006
Last updated
10/27/2015
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