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1285841072
BLUE IRIS CENTER FOR THERAPEUTIC SERVICES
RICHFIELD, MN
NPI
1285841072
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Entity Type
Organization
Authorized Contact
GRANT D CHIKAZAWANELSON
Owner Therapist
612-455-4040
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MN 0943)
Enumeration Date
2007-05-17
Last Update Date
2020-08-22
Business Address
BLUE IRIS CENTER FOR THERAPEUTIC SERVICES
6607 18TH AVE S SUITE 201
RICHFIELD, MN 55423-2784
Phone number: 612-455-4040
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Mailing Address
BLUE IRIS CENTER FOR THERAPEUTIC SERVICES
6607 18TH AVE S SUITE 201
RICHFIELD, MN 55423-2784
Phone number: 612-455-4040
Copy
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