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Individual

MR. DAVID ATO SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8232 EDGEWOOD AVE N, BROOKLYN PARK, MN 55445-2524
(763) 300-7865
(612) 874-9682
Mailing address
8232 EDGEWOOD AVE N, BROOKLYN PARK, MN 55445-2524
(763) 300-7865
(612) 874-9682

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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