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PROVAX LLC

Community Health Clinic/Center

NPI: 1619202934Organization

Specialties, Licenses & Credentials

Clinic/Center — Community Health

Code: 261QC1500X

R106374-5(MN)

Contact & Hours

Address
2018 STONE CREEK DR
CHANHASSEN, MN 55317

Quick Facts

NPI
1619202934
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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