DR. Jackie Lynn Johnsrud, DC

NPI #1164797072 in Williston, North Dakota

Provider Information

NPI Number: 1164797072
Entity Type: Individual
Name: DR. Jackie Lynn Johnsrud, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Mar 12, 2012
Last Updated: Mar 12, 2012

Practice Location

Address: 306 MAIN ST
City: Williston
State: North Dakota
ZIP Code: 58801-5304
Phone: (701) 580-4912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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