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Organization
SCENE CLEAN, INC.
Active
Organization
SCENE CLEAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL J. BERG (OWNER)
(612) 643-0911
Entity
Organization
Contact information
Practice address
111 1ST ST SE STE 2, OSSEO, MN 55369-1501
(612) 643-0911
Mailing address
111 1ST ST SE STE 2, OSSEO, MN 55369-1501
(612) 643-0911
(612) 643-0911
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BC676500
MN
Other
Enumeration date
05/06/2014
Last updated
02/08/2018
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