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Individual

MR. LAMBERT KIGGEN KUBEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
89 CENTURY AVE N APT 325, MAPLEWOOD, MN 55119-4772
(651) 239-2061
Mailing address
89 CENTURY AVE N APT 325, MAPLEWOOD, MN 55119-4772
(651) 239-2061

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1095964-1-HCBS
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5743593
MN
05
82-2995558
MN
Enumeration date
11/19/2018
Last updated
11/19/2018
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