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1619163904
PREMIER HEALTH,P.A.
WOODBURY, MN
NPI
1619163904
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Entity Type
Organization
Authorized Contact
DAVID MARTIN WITTE
President/Owner
651-739-1905
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: MN 1584)
Enumeration Date
2007-09-20
Last Update Date
2007-09-20
Business Address
PREMIER HEALTH,P.A.
6861 UPPER AFTON RD SUITE 102
WOODBURY, MN 55125-4417
Phone number: 651-739-1905
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Mailing Address
PREMIER HEALTH,P.A.
6861 UPPER AFTON RD SUITE 102
WOODBURY, MN 55125-4417
Phone number: 651-739-1905
Copy
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