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DAVY L NESMOE

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1568591097

Individual Registrant:
 DAVY L NESMOE 
Gender: M
Sole Proprietor

Location and contact information for practice:
204 MAIN AVE NORTH  BAUDETTE, MN 56623-1039 US
Tel: 218-634-3325  Fax: --

Contact information for business:
PO BOX 1039  BAUDETTE, MN 56623-1039 US
Tel: 218-634-3325  Fax: --

Registration Information:
NPI: 1568591097
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
MN3065

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD3C263NEMN01




HEALTH CARE JOBS MN - Page 1



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