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Individual

MIESSA GEMEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
766 NEW CENTURY BLVD S, MAPLEWOOD, MN 55119-5996
(612) 483-7712
Mailing address
766 NEW CENTURY BLVD S, MAPLEWOOD, MN 55119-5996
(612) 483-7712

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1107266
MN

Other

Enumeration date
02/13/2021
Last updated
02/13/2021
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