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Individual

BRIANNA BONNIE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7010 HIGHWAY 7, ST LOUIS PARK, MN 55426-4223
(952) 814-0207
Mailing address
16795 248TH ST, LONG PRAIRIE, MN 56347-4842
(320) 874-0060

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
G997077667825
MN

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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