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Organization

AUDIOLOGY CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEB ALLEN (OFFICE MANAGER)
(320) 214-7256
Entity
Organization

Contact information

Practice address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 214-7256
(320) 214-7866
Mailing address
1801 19TH AVE SW, WILLMAR, MN 56201-4946
(320) 214-7256
(320) 214-7866

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7G478AU
BLUE CROSS BLUE SHIELD
01
95527
HEALTH PARTNERS
Enumeration date
10/19/2006
Last updated
08/22/2020
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