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Organization

AG BLOSSOM LLC

Active
Parent organization
AG BLOSSOM
Organization subpart
Yes

Provider details

NPI number
Legal business name
AG BLOSSOM
Authorized official
ANAB GURHAN (OWNER)
(952) 220-3917
Entity
Organization

Contact information

Practice address
1719 CROSSINGS BLVD, SHAKOPEE, MN 55379-8519
(952) 220-3917
Mailing address
1719 CROSSINGS BLVD, SHAKOPEE, MN 55379-8519

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/02/2021
Last updated
01/02/2021
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