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1861945453
JKA5 MAPLE GROVE INC
MAPLE GROVE, MN
NPI
1861945453
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Entity Type
Organization
Authorized Contact
KEVIN AMDAHL
Owner
320-252-0094
Organization Subpart ?
No
Primary Taxonomy
231H00000X Audiologist
Enumeration Date
2016-07-29
Last Update Date
2018-12-18
Business Address
JKA5 MAPLE GROVE INC
7270 FORESTVIEW LN N 225
MAPLE GROVE, MN 55369-5546
Phone number: 320-252-0094
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Mailing Address
JKA5 MAPLE GROVE INC
2848 2ND ST S STE 185
SAINT CLOUD, MN 56301-3708
Phone number: 320-252-0094
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