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Organization
HOPE MEDICAL CLINIC LLC
Active
Organization
HOPE MEDICAL CLINIC LLC
Active
Parent organization
HOPE MEDICAL CLINIC
Other names
Hope Mobile Clinic, HOPE HEALTH INITIATIVE, HOPE MOBILE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPE MEDICAL CLINIC
Authorized official
DR. JUDITH WANYAMA APRN,CNP (PROVIDER)
(763) 377-2069
Entity
Organization
Contact information
Practice address
200 W LAKE ST, MINNEAPOLIS, MN 55408-3023
(952) 219-2773
Mailing address
7325 ZANE AVE N, BROOKLYN PARK, MN 55443-3113
(763) 377-2069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/09/2020
Last updated
12/08/2023
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