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1053700740
ABIJAH'S HOPE
STILLWATER, MN
NPI
1053700740
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Entity Type
Organization
Authorized Contact
ANNA MARIE PEDERSON
Clinical Director
320-219-3192
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MN 21186)
Enumeration Date
2015-01-18
Last Update Date
2015-01-18
Business Address
ABIJAH'S HOPE
12058 55TH ST N
STILLWATER, MN 55082-2029
Phone number: 715-379-1370
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Mailing Address
ABIJAH'S HOPE
12058 55TH ST N
STILLWATER, MN 55082-2029
Phone number: 715-379-1370
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