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Individual

PANG TANG HER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9217 W RIVER RD, BROOKLYN PARK, MN 55444-1219
(763) 424-7683
Mailing address
9217 W RIVER RD, BROOKLYN PARK, MN 55444-1219
(763) 424-7683

Taxonomy

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

Other

Enumeration date
05/22/2007
Last updated
07/08/2007
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