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NPI Provider: 1750388336
Contact Name: Zellner Mary Nell
Position: Administrator
Phone: (507) 237-2911
Gaylord Lakeview Home Information:
Gaylord Lakeview Home organization have npi 1750388336, taxonomy code is 314000000X with license number is 318160 in . This Business address located in 640 3rd St, Gaylord, MN 55334 Minnesota. Get directions of Gaylord Lakeview Home.
Practice Location
Address: 640 3rd St, Gaylord, MN 55334
Phone: (507) 237-2911
Business Location
Address: 640 3rd St, Gaylord, MN 55334
Phone: (507) 237-2911
Fax: (507) 237-5744
Taxonomy
Taxonomy Code: 314000000X
License Number: 318160
License Number of State: MN
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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