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Organization
KIDCARE VENUE
Active
Organization
KIDCARE VENUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH A YUSUF (OWNER)
(612) 607-4412
Entity
Organization
Contact information
Practice address
3226 29TH AVE NE, MINNEAPOLIS, MN 55418-3241
(612) 607-4412
Mailing address
3055 OLD HIGHWAY 8 STE 215, MINNEAPOLIS, MN 55418-2492
(612) 607-4412
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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