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Unbridled Abilities, Llc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
UNBRIDLED ABILITIES, LLC.16892728412020-10-10
Entity TypeOrganization
Provider OrganizationUNBRIDLED ABILITIES, LLC.
Practice Office Address1149 RIVER RIDGE RD
RIVER FALLS, WI US
Practice Office Telephone2623391529
Mailing Address1149 RIVER RIDGE RD
RIVER FALLS, WI 540223412 US
Business Telephone2623391529
Authorized OfficialMADELINE BOE, OWNER, SPEECH L
2623391529
HPT Codes
CodeLicense NoState
235Z00000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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