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Individual

MAI LO HER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
432 MICHIGAN ST, SAINT PAUL, MN 55102-2921
(651) 224-0745
Mailing address
432 MICHIGAN ST, SAINT PAUL, MN 55102-2921
(651) 224-0745

Taxonomy

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

Other

Enumeration date
12/04/2007
Last updated
12/04/2007
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