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1942945761
PORTAGES HEALTH LLC
MINNEAPOLIS, MN
NPI
1942945761
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Entity Type
Organization
Authorized Contact
LEONARD READ SULIK
Sole Mbr
320-492-2232
Organization Subpart ?
No
Primary Taxonomy
103TP0016X Psychologist Prescribing (Medical)
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
PORTAGES HEALTH LLC
310 4TH AVE S STE 5010
MINNEAPOLIS, MN 55415-1053
Phone number: 320-492-2232
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Mailing Address
PORTAGES HEALTH LLC
310 4TH AVE S STE 5010
MINNEAPOLIS, MN 55415-1053
Phone number:
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