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1194856583
RUSSELL S DERHAK
BROOKLYN PARK, MN
NPI
1194856583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MN 4717)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL S DERHAK D.C.
4630 97TH AVE N
BROOKLYN PARK, MN 55443-4027
Phone number: 763-486-3945
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Mailing Address
Dr. RUSSELL S DERHAK D.C.
4630 97TH AVE N
BROOKLYN PARK, MN 55443-4027
Phone number: 763-486-3945
Copy
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