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Individual

ANGEL WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8980 ZACHARY LN N, MAPLE GROVE, MN 55369-4018
(733) 231-2000
Mailing address
9900 BLUEBIRD ST NW APT 103, COON RAPIDS, MN 55433-5328
(715) 271-9884

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/29/2021
Last updated
03/29/2021
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