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1417706243
REVA HEALTH AUTISM CENTER LLC
FRIDLEY, MN
NPI
1417706243
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Entity Type
Organization
Authorized Contact
ANDREA SAMPSON
Owner
763-245-3686
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
REVA HEALTH AUTISM CENTER LLC
880 MOORE LAKE DR W
FRIDLEY, MN 55432-6905
Phone number: 763-245-3686
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Mailing Address
REVA HEALTH AUTISM CENTER LLC
880 MOORE LAKE DR W
FRIDLEY, MN 55432-6905
Phone number:
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