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1073399291
CODY JAMES KIRK
CHASKA, MN
NPI
1073399291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-04
Last Update Date
2023-09-04
Business Address
CODY JAMES KIRK
1435 WHITE OAK DR STE 200
CHASKA, MN 55318-2567
Phone number: 952-443-4600
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Mailing Address
CODY JAMES KIRK
4916 CARLETON RD
MINNETONKA, MN 55343-8787
Phone number:
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