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1104043355
LAKE STREET PAIN RELIEF CENTER, INC
MINNEAPOLIS, MN
NPI
1104043355
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Entity Type
Organization
Authorized Contact
ARELIS GARCIA
Medical Billing Supervisor
954-990-8134
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2007-04-19
Last Update Date
2020-03-16
Business Address
LAKE STREET PAIN RELIEF CENTER, INC
515 W LAKE ST STE F
MINNEAPOLIS, MN 55408-2981
Phone number: 612-827-7246
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Mailing Address
LAKE STREET PAIN RELIEF CENTER, INC
1304 E LAKE ST STE 101
MINNEAPOLIS, MN 55407-1777
Phone number: 612-827-7246
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