Individual
MAILEI SOARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9383 127TH ST SE, CLEAR LAKE, MN 55319-9575
(320) 224-3200
Mailing address
9383 127TH ST SE, CLEAR LAKE, MN 55319-9575
(320) 224-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R227878-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086733-1-HCBS
MINNESOTA DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
06/14/2017
Last updated
07/21/2022
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