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Individual

ANOUPHAB ANDY THOPRAKARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4700 92ND CRES, BROOKLYN PARK, MN 55443-1642
(763) 425-5694
(651) 224-1057
Mailing address
4700 92ND CRES, BROOKLYN PARK, MN 55443-1642
(763) 425-5694
(651) 224-1057

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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