| 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 |