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1275104671
SOURCE HEALTHCARE, LLC
MINNEAPOLIS, MN
NPI
1275104671
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Entity Type
Organization
Authorized Contact
CHRISTIAN O EZEOKEKE
Owner
612-281-3766
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
SOURCE HEALTHCARE, LLC
1513 BRYANT AVE N
MINNEAPOLIS, MN 55411-3258
Phone number: 612-281-3766
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Mailing Address
SOURCE HEALTHCARE, LLC
1513 BRYANT AVE N
MINNEAPOLIS, MN 55411-3258
Phone number: 612-281-3766
Copy
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