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1003463746
DIAMOND EZELI
BURNSVILLE, MN
NPI
1003463746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MN 391528)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
DIAMOND EZELI
1825 SOUTHCROSS DR W APT 2303
BURNSVILLE, MN 55306-7976
Phone number: 651-263-9543
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Mailing Address
DIAMOND EZELI
1825 SOUTHCROSS DR W APT 2303
BURNSVILLE, MN 55306-7976
Phone number: 651-263-9543
Copy
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