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Organization
YOUTH DETERMINED TO SUCCEED
Active
Organization
YOUTH DETERMINED TO SUCCEED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN ANDERSON (EXECUTIVE OFFICER)
(612) 486-6730
Entity
Organization
Contact information
Practice address
3333 N 4TH ST, MINNEAPOLIS, MN 55412-2615
(612) 486-6720
Mailing address
3333 N 4TH ST, MINNEAPOLIS, MN 55412-2615
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
03/04/2013
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