Provider First Line Business Practice Location Address:
2431 HENNEPIN AVE SO
Provider Second Line Business Practice Location Address:
UPTOWN COMMUNITY CLINIC NEIGHBORHOOD INVOLVEMENT PROGRA
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-374-4089
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2007