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1508562240
PAIN SPECIALIST OF MINNESOTA
ST LOUIS PARK, MN
NPI
1508562240
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Entity Type
Organization
Authorized Contact
MARK STOCK
CEO
651-238-8580
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-02-03
Last Update Date
2024-12-26
Business Address
PAIN SPECIALIST OF MINNESOTA
5810 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-2830
Phone number: 612-235-6008
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Mailing Address
PAIN SPECIALIST OF MINNESOTA
5810 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416-2830
Phone number: 612-235-6008
Copy
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