Individual
CYNTHIA LOUISE STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 SOUTH AVE, TWO HARBORS, MN 55616-1648
(218) 834-8018
(218) 834-8019
Mailing address
401 SOUTH AVE, TWO HARBORS, MN 55616-1648
(218) 834-8018
(218) 834-8019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
353080
MN
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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