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1568771962
AVANTI MEDICAL GROUP OF MINNESOTA LLC
SAINT PAUL, MN
NPI
1568771962
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Entity Type
Organization
Authorized Contact
AMY GRAHAM
Vice President Of Medical Affairs
318-465-5874
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2010-10-02
Last Update Date
2010-10-02
Business Address
AVANTI MEDICAL GROUP OF MINNESOTA LLC
1059 MEADOWLANDS DR
SAINT PAUL, MN 55127-2346
Phone number: 318-465-5874
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Mailing Address
AVANTI MEDICAL GROUP OF MINNESOTA LLC
1755 S NAPERVILLE RD SUITE 100
WHEATON, IL 60189-5844
Phone number: 318-465-5874
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