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1912664889
CENTRACARE CLINIC SOUTHWEST LLC
WILLMAR, MN
NPI
1912664889
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Entity Type
Organization
Authorized Contact
MICHAEL BLAIR
CFO
320-255-5665
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2021-11-26
Last Update Date
2021-11-30
Business Address
CENTRACARE CLINIC SOUTHWEST LLC
101 WILLMAR AVE SW
WILLMAR, MN 56201-3556
Phone number: 320-231-5000
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Mailing Address
CENTRACARE CLINIC SOUTHWEST LLC
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700
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