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Organization
TWIN LAKE CARE
Active
Organization
TWIN LAKE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA KATHERINE DUBOVICH (OWNER)
(218) 247-7955
Entity
Organization
Contact information
Practice address
28427 COUNTY ROAD 69, BOVEY, MN 55709-8246
(218) 247-7955
Mailing address
PO BOX 204, MARBLE, MN 55764-0204
(218) 247-7955
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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