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1275214918
INTERPATH AGENCY LLC
COON RAPIDS, MN
NPI
1275214918
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Entity Type
Organization
Authorized Contact
PATRICK ORIBAMISE
President
763-291-8355
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2023-07-26
Last Update Date
2023-07-26
Business Address
INTERPATH AGENCY LLC
2119 110TH LN NW
COON RAPIDS, MN 55433-4173
Phone number: 763-291-8355
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Mailing Address
INTERPATH AGENCY LLC
2119 110TH LN NW
COON RAPIDS, MN 55433-4173
Phone number:
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