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Organization

VALLEY PAIN RELIEF AND WELLNESS CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHWIN VINOD GEORGE (VP, CEO)
(612) 444-3000
Entity
Organization

Contact information

Practice address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000
Mailing address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103T00000X
Psychologist
Primary

Other

Enumeration date
01/29/2020
Last updated
02/28/2020
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