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Individual

ANDREW QUINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
512 4TH ST NE, DEVILS LAKE, ND 58301-2597
(701) 662-6767
Mailing address
1204 10TH AVE S, GRAND FORKS, ND 58201-4314
(218) 230-9552

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
175T00000X
Peer Specialist
347C00000X
Private Vehicle

Other

Enumeration date
03/15/2023
Last updated
03/15/2023
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