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1447401971
HEALTH SOURCE OF WOODBURY PA
WOODBURY, MN
NPI
1447401971
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Entity Type
Organization
Authorized Contact
JEFFREY J. WISDO
Owner
651-735-8646
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2008-10-02
Last Update Date
2008-10-02
Business Address
HEALTH SOURCE OF WOODBURY PA
7060 VALLEY CREEK PLZ STE 121
WOODBURY, MN 55125-2269
Phone number: 651-735-8646
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Mailing Address
HEALTH SOURCE OF WOODBURY PA
7060 VALLEY CREEK PLZ STE 121
WOODBURY, MN 55125-2269
Phone number: 651-735-8646
Copy
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