Individual
MR. BEAU BENJAMIN BEDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
ONE VETERANS DRIVE, VA MEDICAL CENTER (127A), MINNEAPOLIS, MN 55417-2309
(612) 629-7551
Mailing address
ONE VETERANS DRIVE, VA MEDICAL CENTER (127A), MINNEAPOLIS, MN 55417-2309
(612) 629-7551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8407
MN
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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