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Individual

SARA MICHELLE BRUBAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW, LPN

Contact information

Practice address
3130 SE 2ND AVE, GRAND RAPIDS, MN 55744-2778
(218) 326-5114
(218) 999-4041
Mailing address
3130 SE 2ND AVE, GRAND RAPIDS, MN 55744-2778
(218) 326-5114
(218) 999-4041

Taxonomy

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

Other

Enumeration date
06/26/2018
Last updated
06/26/2018
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