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1703 County Road 42 W Burnsville MN 55306-6214 | |
(602) 248-8886 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Methadone |
Location | 1703 County Road 42 W, Burnsville, Minnesota |
Authorized Official Name and Position | Alex G Vilchis (CRED MANAGER) |
Authorized Official Contact | 6022488886 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: () - | 1703 County Road 42 W Burnsville MN 55306-6214 Ph: (602) 248-8886 |
NPI Number | 1801635495 |
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Provider Enumeration Date | 05/22/2024 |
Last Update Date | 05/22/2024 |
Certification Date | 05/22/2024 |
Identifier | Type | State | Issuer |
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1801635495 | NPI | - | NPPES |
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