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Individual

ROSE PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
121 83RD AVE NE APT 310, FRIDLEY, MN 55432-1893
(612) 703-2853
Mailing address
121 83RD AVE NE APT 310, FRIDLEY, MN 55432-1893
(612) 703-2853

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/14/2020
Last updated
06/15/2021
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