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Organization

GENTLE CARING MIND HEALTHCARE LLC

Active
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Organization

GENTLE CARING MIND HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELVIS TABUKUM (OWNER)
(651) 283-1185
Entity
Organization

Contact information

Practice address
3833 COON RAPIDS BLVD NW STE 260, COON RAPIDS, MN 55433-2597
(651) 283-1185
Mailing address
3833 COON RAPIDS BLVD NW STE 260, COON RAPIDS, MN 55433-2597

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/12/2023
Last updated
10/12/2023
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