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Individual

TAYLOR LEE ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
777 DAGUE AVE NE, BUFFALO, MN 55313-4214
(612) 600-2064
(763) 682-5277
Mailing address
777 DAGUE AVE NE, BUFFALO, MN 55313-4214
(612) 600-2064
(763) 682-5277

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1092664-1-HCBS
MN
372600000X
Adult Companion
1092664-1-HCBS
MN
385H00000X
Respite Care
1092664-1-HCBS
MN

Other

Enumeration date
03/19/2018
Last updated
03/19/2018
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