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Individual

IRENE WON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16114 GOODVIEW WAY, LAKEVILLE, MN 55044-9093
(612) 607-9025
Mailing address
16114 GOODVIEW WAY, LAKEVILLE, MN 55044-9093
(612) 607-9025

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
406703
MN

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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