Individual
ALASTER XAN ELIAS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 767-7222
Mailing address
650 SELBY AVE APT 1, SAINT PAUL, MN 55104-6578
(651) 964-9637
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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