Individual
NICHOLAS ANGLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3980 RUSH LAKE RD, RUSH CITY, MN 55069-2868
(320) 266-5272
Mailing address
3980 RUSH LAKE RD, RUSH CITY, MN 55069-2868
(320) 266-5272
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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