Individual
DEBRA BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 DAYTON AVE, SAINT PAUL, MN 55104-5931
(651) 646-9450
Mailing address
1939 DAYTON AVE, SAINT PAUL, MN 55104-5931
(651) 646-9450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R0864864
MN
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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