NPI | 1396205761 |
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Doing Business As | NORTHLAND HEARING CENTERS, INC. DBA HEARING LAB |
Entity Type | Organization |
Authorized Contact | CHARLES LEWIS LAYTART Credentialing Specialist 952-915-6248 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
Enumeration Date | 2019-03-22 |
Last Update Date | 2019-05-29 |