Individual
ANGELINA JEANINE CONSTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4478
(763) 898-1361
(763) 898-1866
Mailing address
1227 SCHOOL ST NW APT 204, ELK RIVER, MN 55330-1885
(763) 227-6100
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/17/2008
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