Individual
LUIS MIGUEL OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3544 YUKON AVE S, ST LOUIS PARK, MN 55426-3828
(612) 598-1790
Mailing address
3544 YUKON AVE S, ST LOUIS PARK, MN 55426-3828
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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