Individual
CHEZRON FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 NICOLLET AVE, MINNEAPOLIS, MN 55408-1628
(612) 871-7878
Mailing address
4334 HUMBOLDT AVE NO, MINNEAPOLIS, MN 55412
(612) 871-7878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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