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13700 Reimer Dr N Suite 220 Maple Grove MN 55311-4580 | |
| (763) 424-2474 | |
| (763) 424-2711 |
| Full Name | |
|---|---|
| Speciality | Nutritionist - Nutrition, Education |
| Location | 13700 Reimer Dr N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Julie Gomer (CO-OWNER, COO) |
| Authorized Official Contact | 7639134600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13700 Reimer Dr N Suite 220 Maple Grove MN 55311-4580 Ph: (763) 424-2474 | 13700 Reimer Dr N Suite 220 Maple Grove MN 55311-4580 Ph: (763) 424-2474 |
| NPI Number | 1134665748 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134665748 | NPI | - | NPPES |
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