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2531 310th Ave Naytahwaush MN 56566-9998 | |
(218) 983-3285 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 2531 310th Ave, Naytahwaush, Minnesota |
Authorized Official Name and Position | Jeri Jasken (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 2189834647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2531 310th Ave Naytahwaush MN 56566-9998 Ph: () - | 2531 310th Ave Naytahwaush MN 56566-9998 Ph: (218) 983-3285 |
NPI Number | 1346604246 |
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Provider Enumeration Date | 04/07/2016 |
Last Update Date | 04/07/2016 |
Identifier | Type | State | Issuer |
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1346604246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |