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1083598205
DIVERGENT PATH THERAPY PLLC
MINNEAPOLIS, MN
NPI
1083598205
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Entity Type
Organization
Authorized Contact
SHANE PRIJATEL-SPARE
Owner
612-217-4890
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2025-08-01
Last Update Date
2025-08-01
Business Address
DIVERGENT PATH THERAPY PLLC
4404 NICOLLET AVE APT 1
MINNEAPOLIS, MN 55419-2642
Phone number: 612-217-4890
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Mailing Address
DIVERGENT PATH THERAPY PLLC
4404 NICOLLET AVE APT 1
MINNEAPOLIS, MN 55419-2642
Phone number:
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