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Individual

JUAN CARLOS DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.H.W.

Contact information

Practice address
1101 MOULTON AND PARSONS DR, SAINT JAMES, MN 56081-5550
(507) 375-8644
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 375-8644

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MN

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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