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Individual

DOMITILA MAGHANGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4435 PARKLAWN CT APT 112, EDINA, MN 55435-4618
(952) 393-0241
Mailing address
4435 PARKLAWN CT APT 112, EDINA, MN 55435-4618
(952) 393-0241

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
763771100027
MN

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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