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401 Prairie Ave. N. 49725 Co. Hwy 83 Staples MN 56479 | |
(218) 894-8204 | |
(218) 894-8219 |
Full Name | |
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Speciality | Clinic/center - Adult Mental Health |
Location | 401 Prairie Ave. N., Staples, Minnesota |
Authorized Official Name and Position | Nancy J Rach (COUNSELOR) |
Authorized Official Contact | 2186401992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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401 Prairie Ave. N. 49725 Co. Hwy 83 Staples MN 56479 Ph: (218) 894-8204 | 401 Prairie Ave. N. 49725 Co. Hwy 83 Staples MN 56479 Ph: (218) 894-8204 |
NPI Number | 1932468683 |
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Provider Enumeration Date | 05/15/2012 |
Last Update Date | 05/15/2012 |
Identifier | Type | State | Issuer |
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1932468683 | NPI | - | NPPES |