Individual
CHARLIE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 CLIFTON AVE, MINNEAPOLIS, MN 55403-3467
(612) 870-3787
Mailing address
2060 CENTRE POINTE BLVD, SAINT PAUL, MN 55120-1269
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
78497-3
MN
Other
Enumeration date
11/22/2015
Last updated
11/22/2015
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