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Organization

HENNEPIN COUNTY

Active
Other names
HCH Street Outreach
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH BLAIR DAVID (CFO)
(612) 348-2247
Entity
Organization

Contact information

Practice address
525 PORTLAND AVE. SO., FL3 MC962, MINNEAPOLIS, MN 55415
(612) 348-5553
(612) 999-9999
Mailing address
525 PORTLAND AVE. SO., FL3 MC962, MINNEAPOLIS, MN 55415
(612) 348-5553
(612) 999-9999

Taxonomy

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

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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