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1559 Randolph Ave Saint Paul MN 55105-2539 | |
(651) 698-6363 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1559 Randolph Ave, Saint Paul, Minnesota |
Authorized Official Name and Position | Kathleen T Carey (OWNER AND ACUPUNCTURIST) |
Authorized Official Contact | 6516986363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1559 Randolph Ave Saint Paul MN 55105-2539 Ph: (651) 698-6363 | 1559 Randolph Ave Saint Paul MN 55105-2539 Ph: (651) 698-6363 |
NPI Number | 1427342542 |
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Provider Enumeration Date | 06/06/2011 |
Last Update Date | 06/06/2011 |
Identifier | Type | State | Issuer |
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1427342542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1327 (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 |