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Organization
VILLAGE COMMUNITY CLINIC INC
Active
Organization
VILLAGE COMMUNITY CLINIC INC
Active
Other names
Village Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON NOLA MD (OWNER)
(316) 208-1871
Entity
Organization
Contact information
Practice address
1001 JOHNSON PKWY STE A1, SAINT PAUL, MN 55106-3655
(651) 321-8856
Mailing address
1001 JOHNSON PKWY STE A2, SAINT PAUL, MN 55106-3655
(651) 560-2010
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
05/22/2024
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