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1821 University Ave W Suite S 286 St Paul MN 55104 | |
(651) 287-5223 | |
(651) 287-5227 |
Full Name | |
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Speciality | Clinic/center |
Location | 1821 University Ave W, St Paul, Minnesota |
Authorized Official Name and Position | Sirad Warfa Osman (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6512875223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1821 University Ave W Suite S 286 St Paul MN 55104 Ph: (651) 287-5223 | 1821 University Ave W Suite S 286 St Paul MN 55104 Ph: (651) 287-5223 |
NPI Number | 1023061363 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 11/20/2007 |
Identifier | Type | State | Issuer |
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1023061363 | NPI | - | NPPES |
1396747788 | Other | NPI |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Aspire Community Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Minnesota St, Suite 1500, St Paul, MN 55101 Phone: 612-250-2486 | |
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