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Individual

MARK CHEPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 THOMPSON AVE E, # 204, SAINT PAUL, MN 55118-3187
(651) 455-9724
(651) 455-9726
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(888) 333-9152
(763) 268-4240

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
2249
MN
237600000X
Audiologist-Hearing Aid Fitter
Primary
5175
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
336365100
MN
Enumeration date
06/08/2006
Last updated
03/28/2014
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