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1104252022
BASHIOUM COSMETIC SURGERY CENTER, LTD.
WAYZATA, MN
NPI
1104252022
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Entity Type
Organization
Authorized Contact
RALPH W BASHIOUM
President
952-449-4900
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2013-09-24
Last Update Date
2014-01-16
Business Address
BASHIOUM COSMETIC SURGERY CENTER, LTD.
445 LAKE ST E STE 210
WAYZATA, MN 55391-1671
Phone number: 952-449-4900
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Mailing Address
BASHIOUM COSMETIC SURGERY CENTER, LTD.
2854 HIGHWAY 55 SUITE 130
EAGAN, MN 55121-2156
Phone number: 952-449-4900
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