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Individual

RAY BRUCE MADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
31739 STATE HIGHWAY 25, BELLE PLAINE, MN 56011-5075
(612) 282-2929
Mailing address
31739 STATE HIGHWAY 25, BELLE PLAINE, MN 56011-5075
(612) 282-2929

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary

Other

Enumeration date
03/03/2021
Last updated
03/03/2021
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