NPI | 1023381043 |
---|---|
Doing Business As | HEALTHSOURCE OF BLAINE CHIROPRACTIC & PROGRESSIVE REHAB |
Entity Type | Organization |
Authorized Contact | ROBERT L VAUGHN Owner 763-205-3781 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 5587) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2012-02-22 |