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1023719259
JEREMY JOHN COLFORD
SAINT CLOUD, MN
NPI
1023719259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MN 824109)
Enumeration Date
2023-03-14
Last Update Date
2023-03-14
Business Address
JEREMY JOHN COLFORD LPN
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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Mailing Address
JEREMY JOHN COLFORD LPN
13197 IVY ST
BECKER, MN 55308-4537
Phone number: 763-221-3863
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