Individual
DEBRA KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408
(612) 822-8227
Mailing address
3541 4TH AVE S, MINNEAPOLIS, MN 55408
(612) 298-2921
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
320200000X
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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