Organization
INTERPATH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ORIBAMISE (PRESIDENT)
(763) 291-8355
Entity
Organization
Contact information
Practice address
2119 110TH LN NW, COON RAPIDS, MN 55433-4173
(763) 291-8355
Mailing address
2119 110TH LN NW, COON RAPIDS, MN 55433-4173
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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