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1871749036
MERITCARE 1219
DETROIT LAKES, MN
NPI
1871749036
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Entity Type
Organization
Authorized Contact
LISA M CARLSON
CFO
70123-334-4811
Organization Subpart ?
No
Primary Taxonomy
103TF0000X Psychologist, Family
Enumeration Date
2008-08-07
Last Update Date
2008-08-13
Business Address
MERITCARE 1219
1219 S WASHINGTON AVE
DETROIT LAKES, MN 56501-3905
Phone number: 218-846-2000
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Mailing Address
MERITCARE 1219
1219 S WASHINGTON AVE
DETROIT LAKES, MN 56501-3905
Phone number: 218-846-2000
Copy
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