DIABETIC SHOE SOURCE

EAGAN, MN
NPI1003960147
Entity TypeOrganization
Authorized ContactAMY LUZAICH
President
763-757-8086
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2007-01-23
Last Update Date2021-10-21
Business Address
DIABETIC SHOE SOURCE
2121 CLIFF DR STE 118
EAGAN, MN 55122-3431
Phone number: 763-757-8086
Mailing Address
DIABETIC SHOE SOURCE
2121 CLIFF DR STE 118
EAGAN, MN 55122-3431
Phone number: 763-757-8086
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