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Individual provider · Assisted Living Facility · Blaine, MN

NPI
1023736634
Type
Individual (Type 1)
Primary specialty
Assisted Living Facility
Specialty group
Nursing & Custodial Care Facilities
Taxonomy code
310400000X
License number
408505 (MN)
Sex
Female
Sole proprietor
Yes
Enumerated
2022-08-19
Last updated
2022-08-19
Practice location
3912 86th Lane Ne
Blaine, MN 55014
(612) 558-8999

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