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1477829935
SOARING EAGLE THERAPEUTIC SERVICES, LLC
SAINT PAUL, MN
NPI
1477829935
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Entity Type
Organization
Authorized Contact
JAY RUSSELL HUNTER
Therapist
651-269-0485
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MN 1605)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
SOARING EAGLE THERAPEUTIC SERVICES, LLC
2046 SAINT CLAIR AVE
SAINT PAUL, MN 55105-1650
Phone number: 651-269-0485
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Mailing Address
SOARING EAGLE THERAPEUTIC SERVICES, LLC
1775 JULIET AVE
SAINT PAUL, MN 55105-2124
Phone number: 651-269-0485
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