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1730915190
ROOTS4CHANGE COOP
MADISON, WI
NPI
1730915190
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Entity Type
Organization
Authorized Contact
JENNIFER VALENCIA
President
704-884-5284
Organization Subpart ?
No
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
ROOTS4CHANGE COOP
701 E WASHINGTON AVE STE 102
MADISON, WI 53703-2958
Phone number: 904-385-8151
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Mailing Address
ROOTS4CHANGE COOP
701 E WASHINGTON AVE STE 102
MADISON, WI 53703-2958
Phone number: 904-385-8151
Copy
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