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Individual

JOSEPHINE MASSA KANNEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3420 18TH ST S, MOORHEAD, MN 56560-7113
(701) 491-2213
Mailing address
3420 18TH ST S APT 110, MOORHEAD, MN 56560-7114
(701) 491-2213

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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