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Individual

MERCY TASIAME QUENTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7310 UNITY LANE NORTH, BROOKLYN PARK, MN 55443
(612) 460-7680
Mailing address
7310 UNITY LANE NORTH, BROOKLYN PARK, MN 55443
(612) 460-7680

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
MN
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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