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1174730048
ILLUMINNATE FAMILY CHIROPRACTIC, INC.
LAKE ELMO, MN
NPI
1174730048
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Entity Type
Organization
Authorized Contact
JOHN CHRISTIAN WARD
President
952-239-0050
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MN 4731)
Enumeration Date
2007-05-17
Last Update Date
2007-07-17
Business Address
ILLUMINNATE FAMILY CHIROPRACTIC, INC.
8931 HIGHWAY 5 SUITE A
LAKE ELMO, MN 55042-8900
Phone number: 651-204-0926
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Mailing Address
ILLUMINNATE FAMILY CHIROPRACTIC, INC.
8931 HIGHWAY 5 SUITE A
LAKE ELMO, MN 55042-8900
Phone number: 651-204-0926
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