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1487334454
ABRAHAM W WIDJAJA
MINNEAPOLIS, MN
NPI
1487334454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MN 7123)
Enumeration Date
2023-07-24
Last Update Date
2024-05-16
Business Address
Dr. ABRAHAM W WIDJAJA DC
2201 HENNEPIN AVE
MINNEAPOLIS, MN 55405-2738
Phone number: 612-377-7760
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Mailing Address
Dr. ABRAHAM W WIDJAJA DC
1770 BRYANT AVE S APT 201
MINNEAPOLIS, MN 55403-3140
Phone number: 712-212-1236
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