Provider Demographics
NPI:1730579764
Name:VIBAR, LEAH ANGELA (DC)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:ANGELA
Last Name:VIBAR
Suffix:
Gender:F
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:616 RICE STREET STE. B
Mailing Address - Street 2:MOUA-LOR CHIROPRACTIC & ACUPUNCTURE, P.A.
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103
Mailing Address - Country:US
Mailing Address - Phone:651-224-9400
Mailing Address - Fax:651-224-0690
Practice Address - Street 1:616 RICE STREET STE. B
Practice Address - Street 2:MOUA-LOR CHIROPRACTIC & ACUPUNCTURE, P.A.
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103
Practice Address - Country:US
Practice Address - Phone:651-224-9400
Practice Address - Fax:651-224-0690
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN6034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor