Organization
BEAR CLAW CONSTRUCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA JEAN DEGOLIER BARON (OWNER)
(763) 753-5800
Entity
Organization
Contact information
Practice address
6800 189TH LN NW, ANOKA, MN 55303-9606
(763) 753-5800
(763) 753-5801
Mailing address
6800 189TH LN NW, ANOKA, MN 55303-9606
(763) 753-5800
(763) 753-5801
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
20637853
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20637853
CONTRACTOR
MN
Enumeration date
09/15/2011
Last updated
09/15/2011
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