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1164766010
HIAWATHA CLINIC CENTER LLC
ROSEVILLE, MN
NPI
1164766010
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Entity Type
Organization
Authorized Contact
HUDO O MIRE
Manager
651-308-8842
Organization Subpart ?
No
Primary Taxonomy
273Y00000X Rehabilitation Unit
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
HIAWATHA CLINIC CENTER LLC
2275 SNELLING AVE N APT 309
ROSEVILLE, MN 55113-4285
Phone number: 651-308-8842
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Mailing Address
HIAWATHA CLINIC CENTER LLC
2275 SNELLING AVE N APT 309
ROSEVILLE, MN 55113-4285
Phone number: 651-308-8842
Copy