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651 Arcade St Saint Paul MN 55106-4518 | |
(651) 771-5388 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 651 Arcade St, Saint Paul, Minnesota |
Authorized Official Name and Position | Karen Lee (PHYSICIAN) |
Authorized Official Contact | 6517715388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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651 Arcade St Saint Paul MN 55106-4518 Ph: (651) 771-5388 | 651 Arcade St Saint Paul MN 55106-4518 Ph: (651) 771-5388 |
NPI Number | 1912255456 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
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1912255456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Minnesota) | Primary |
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125 |