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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