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Individual

ANTWAN PLAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1325 AMERICAN BLVD E STE 5A, BLOOMINGTON, MN 55425-1152
(763) 732-9476
Mailing address
1325 AMERICAN BLVD E STE 5A, BLOOMINGTON, MN 55425-1152
(763) 732-9476

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC02361
MN

Other

Enumeration date
06/02/2008
Last updated
10/12/2022
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