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NPI Provider: 1962401034
Contact Name: Taillefer J Patrick
Position: Corporate Administrator
Phone: (952) 985-8911
Quello Clinic, Ltd. Information:
Quello Clinic, Ltd. organization have npi 1962401034, taxonomy code is 207Q00000X with license number is in . This Business address located in 7801 E Bush Lake Rd, Bloomington, MN 55439 Minnesota. Get directions of Quello Clinic, Ltd..
Practice Location
Address: 14000 Nicollet Ave, Burnsville, MN 55337
Phone: (952) 985-8200
Business Location
Address: 7801 E Bush Lake Rd, Bloomington, MN 55439
Phone: (952) 985-8911
Fax: (952) 985-8999
Taxonomy
Taxonomy Code: 207Q00000X
License Number:
License Number of State: MN
Primary Taxonomy Switch: Y
Enumeration Date: 7/20/2005
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