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Organization

RESOLUTION LASER LLC

Active
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Organization

RESOLUTION LASER LLC

Active
Other names
Breathe - Freedom from Nicotine
Organization subpart
No

Provider details

NPI number
Authorized official
RICK N DIAMOND J.D. (CEO)
(952) 697-1100
Entity
Organization

Contact information

Practice address
13911 RIDGEDALE DR, SUITE 180, MINNETONKA, MN 55305-1771
(952) 697-1100
Mailing address
13911 RIDGEDALE DR, SUITE 180, MINNETONKA, MN 55305-1771
(952) 697-1100

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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