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Organization

BOULDER POINTE EQUESTRIAN & EVENT CENTER, LLC

Active
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Organization

BOULDER POINTE EQUESTRIAN & EVENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON GUSTAFSON (VICE PRESIDENT)
(952) 220-6028
Entity
Organization

Contact information

Practice address
6612 189TH LN NW, ANOKA, MN 55303-9519
(952) 220-6028
Mailing address
6612 189TH LN NW, ANOKA, MN 55303-9519
(952) 220-6028

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
02/17/2022
Last updated
02/17/2022
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