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1245053222
PATH WAVE CARE CENTER LLC
MINNEAPOLIS, MN
NPI
1245053222
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Entity Type
Organization
Authorized Contact
LIBAN MOHAMED JAMA
Owner
612-978-1273
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
PATH WAVE CARE CENTER LLC
2515 S 9TH ST APT 702
MINNEAPOLIS, MN 55406-1034
Phone number: 612-978-1273
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Mailing Address
PATH WAVE CARE CENTER LLC
2515 S 9TH ST APT 702
MINNEAPOLIS, MN 55406-1034
Phone number: 612-978-1273
Copy
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