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Organization

TRANSFORMING RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KIP WAHLQUIST (PRESIDENT)
(952) 884-5803
Entity
Organization

Contact information

Practice address
10800 LYNDALE AVE S, SUITE #191, BLOOMINGTON, MN 55420-5614
(952) 884-5803
Mailing address
10800 LYNDALE AVE S, SUITE #191, BLOOMINGTON, MN 55420-5614
(952) 884-5803

Taxonomy

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

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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