Individual
DESHAWN A PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6701 PARKWAY CIR STE 300, BROOKLYN CENTER, MN 55430-2849
(763) 213-9094
Mailing address
6221 SHINGLE CREEK PKWY APT 402, BROOKLYN CENTER, MN 55430-2158
(763) 317-3044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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