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Individual

LAURA DENISSE SAN MIGUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 HIGHWAY 3 N APT 25, NORTHFIELD, MN 55057-9435
(956) 640-8682
Mailing address
720 MINNESOTA 3 N, APT 25, NORTHFIELD, MN 55057
(956) 640-8682

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/10/2023
Last updated
01/10/2023
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