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7133 116th Pl N Champlin MN 55316-2879 | |
| (612) 483-3771 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 7133 116th Pl N, Champlin, Minnesota |
| Authorized Official Name and Position | Titilope Akano (PRESIDENT) |
| Authorized Official Contact | 6122512366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7133 116th Pl N Champlin MN 55316-2879 Ph: (612) 483-3771 | 7133 116th Pl N Champlin MN 55316-2879 Ph: (612) 483-3771 |
| NPI Number | 1649963109 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649963109 | NPI | - | NPPES |
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