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1376501510
GENOA HEALTHCARE OF MINNESOTA, LLC
MINNEAPOLIS, MN
NPI
1376501510
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Entity Type
Organization
Authorized Contact
JODI KERSAVAGE
Site Implementation
360-601-2122
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
(Licence: MN 262600-0)
Enumeration Date
2006-05-03
Last Update Date
2020-08-22
Business Address
GENOA HEALTHCARE OF MINNESOTA, LLC
825 S 8TH ST SUITE SL-10
MINNEAPOLIS, MN 55404-1208
Phone number: 612-332-6522
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Mailing Address
GENOA HEALTHCARE OF MINNESOTA, LLC
510 E MAIN ST
AUBURN, WA 98002-5502
Phone number: 360-218-0830
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