DIVINE HEALTH LLC

SAINT PAUL, MN
NPI1871240267
Entity TypeOrganization
Authorized ContactVICTOR T DAVIS
Co Owner
952-288-9921
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2022-03-04
Last Update Date2022-03-04
Business Address
DIVINE HEALTH LLC
625 SNELLING AVE N STE A-2
SAINT PAUL, MN 55104-2878
Phone number: 952-288-9921
Mailing Address
DIVINE HEALTH LLC
625 SNELLING AVE N STE A-2
SAINT PAUL, MN 55104-2878
Phone number: 952-288-9921
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