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ST.PAUUL, MN
NPI1770036741
Entity TypeOrganization
Authorized ContactFAADIL SHEIKHMOHAMED
Owner
612-644-4950
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2016-07-26
Last Update Date2016-07-26
Business Address
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393 DUNLAP STREET N SUITE 400K
ST.PAUUL, MN 55104
Phone number: 612-644-4950
Mailing Address
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393 DUNLAP ST N
SAINT PAUL, MN 55104-4200
Phone number: 612-644-4950