Individual
INGA INNA SABUROV
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA/ CCC-A
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7601
MN
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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