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1164046926
DIVERSITY HEALTH SERVICE LLC
BLOOMINGTON, MN
NPI
1164046926
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Entity Type
Organization
Authorized Contact
MOHAMED ARAB
CEO
612-834-5913
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2020-06-07
Last Update Date
2020-06-07
Business Address
DIVERSITY HEALTH SERVICE LLC
7900 INTERNATIONAL DR STE 300
BLOOMINGTON, MN 55425-2562
Phone number: 612-834-5913
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Mailing Address
DIVERSITY HEALTH SERVICE LLC
7900 INTERNATIONAL DR STE 300
BLOOMINGTON, MN 55425-2562
Phone number: 612-834-5913
Copy
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