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1790882785
DEEPHAVEN CHIROPRACTIC, P.A.
WAYZATA, MN
NPI
1790882785
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Entity Type
Organization
Authorized Contact
TAMMY JO LOVE
CEO
952-475-0079
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MN 3658)
Enumeration Date
2006-09-20
Last Update Date
2010-01-14
Business Address
DEEPHAVEN CHIROPRACTIC, P.A.
18281 MINNETONKA BLVD
WAYZATA, MN 55391-3345
Phone number: 952-475-0079
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Mailing Address
DEEPHAVEN CHIROPRACTIC, P.A.
18281 MINNETONKA BLVD
WAYZATA, MN 55391-3345
Phone number: 952-475-0079
Copy
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