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Individual

RONALD PATRICK DETOMASO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
492 WINONA ST E, SAINT PAUL, MN 55107-2470
(652) 955-7020
Mailing address
1335 THOMPSON AVE, SOUTH SAINT PAUL, MN 55075-1410
(651) 789-3100
(651) 789-0805

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BC637087
MN STATE BUILDING/CONTRACTOR LICENSE
Enumeration date
01/30/2018
Last updated
01/30/2018
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