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1073767372
HEALTHSOURCE OF WHITE BEAR LAKE, PLLC
WHITE BEAR LAKE, MN
NPI
1073767372
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Entity Type
Organization
Authorized Contact
MICHAEL LEO DIXON
Chiropractor
651-762-5433
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MN 5114)
Enumeration Date
2008-11-13
Last Update Date
2010-02-12
Business Address
HEALTHSOURCE OF WHITE BEAR LAKE, PLLC
4801 HIGHWAY 61 N 105
WHITE BEAR LAKE, MN 55110-2737
Phone number: 651-762-5433
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Mailing Address
HEALTHSOURCE OF WHITE BEAR LAKE, PLLC
4801 HIGHWAY 61 N 105
WHITE BEAR LAKE, MN 55110-2737
Phone number: 651-762-5433
Copy
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