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Individual

ANGELA KIRIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
10160 FOLEY BLVD NW, SUITE 120, COON RAPIDS, MN 55448-5277
(763) 585-0700
Mailing address
1375 HONEYSUCKLE LN, CAMBRIDGE, MN 55008-1777

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7228
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
616055700
MN
01
HP69954
HEALTH PARTNERS
MN
Enumeration date
09/27/2006
Last updated
08/05/2014
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