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Individual

DAVID PHILIP VANDERBEEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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