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Individual

PABLO AVENDANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(763) 226-0533
Mailing address
16210 39TH PL N, PLYMOUTH, MN 55446-1354

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/19/2014
Last updated
04/19/2014
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