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Organization

EAST SIDE NEIGHBORHOOD SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY MUNDINGER (CFO)
(612) 781-6011
Entity
Organization

Contact information

Practice address
1700 2ND ST NE, MINNEAPOLIS, MN 55413-1139
(612) 781-6011
(612) 787-4018
Mailing address
1700 2ND ST NE, MINNEAPOLIS, MN 55413-1139
(612) 781-6011
(612) 787-4018

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
01/04/2018
Last updated
01/04/2018
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