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Organization

TUTS BLESSING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYRA MAGANA (PRESIDENT)
(763) 544-2395
Entity
Organization

Contact information

Practice address
1020 W MEDICINE LAKE DR, 341, PLYMOUTH, MN 55441-4513
(763) 544-2395
Mailing address
1020 W MEDICINE LAKE DR, 341, PLYMOUTH, MN 55441-4513
(763) 544-2395

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
R 1801049788
MN

Other

Enumeration date
11/20/2008
Last updated
11/20/2008
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