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Individual

BIANCA N JUNIOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4124 QUEBEC AVE N STE 105D, NEW HOPE, MN 55427-1200
(651) 815-3819
Mailing address
4124 QUEBEC AVE N STE 105D, NEW HOPE, MN 55427-1200
(651) 815-3819

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/29/2025
Last updated
06/03/2025
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