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1891174751
HRA-IQ PC
EDINA, MN
NPI
1891174751
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Entity Type
Organization
Authorized Contact
STEVE PONTIUS
CEO
612-741-2793
Organization Subpart ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
HRA-IQ PC
4600 W 77TH ST #355
EDINA, MN 55435-4909
Phone number: 612-741-2793
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Mailing Address
HRA-IQ PC
4600 W 77TH ST #355
EDINA, MN 55435-4909
Phone number:
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