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1154721785
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
WOODBURY, MN
NPI
1154721785
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Entity Type
Organization
Authorized Contact
JEFFREY J BRUCE
Director
612-596-6203
Organization Subpart ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2014-09-02
Last Update Date
2021-04-27
Business Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
215 RADIO DR STE 100
WOODBURY, MN 55125-5817
Phone number: 612-593-6205
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Mailing Address
PEDIATRIC ORTHOTIC AND PROSTHETIC SERVICES - MIDWEST, LLC
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number: 844-602-3960
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