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Organization

STANFORD CO, LLC

Active
Other names
Stanford Co. LLC dba LearningRx Owatonna, LearningRx Owatonna
Organization subpart
Yes

Provider details

NPI number
Authorized official
DARCI STANFORD BCCS (OWNER)
(507) 676-3026
Entity
Organization

Contact information

Practice address
130 E VINE ST, OWATONNA, MN 55060-2428
(507) 676-3026
Mailing address
130 E VINE ST, OWATONNA, MN 55060-2428
(507) 676-3026

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20464514
IBCCES
Enumeration date
09/14/2020
Last updated
09/14/2020
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