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MRS. JAMIE L VANDER SANDEN D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1750567632
Individual Registrant:MRS. JAMIE L VANDER SANDEN D.C.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
315 E MAIN ST HORTONVILLE, WI 54944-0301 US
Tel: 920-450-1655 Fax: --
Tel: 920-450-1655 Fax: --
Contact information for business:
315 E MAIN ST HORTONVILLE, WI 54944-0301 US
Tel: 920-450-1655 Fax: --
Tel: 920-450-1655 Fax: --
Registration Information:
NPI: 1750567632
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | WI | 4374 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
