BREANNA LEA BACH

SHAKOPEE, MN
NPI1104113349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  L 69958-9)
Enumeration Date2011-07-08
Last Update Date2011-07-08
Business Address
Ms. BREANNA LEA BACH LPN
1962 CARDINAL DR
SHAKOPEE, MN 55379-4418
Phone number: 612-619-1567
Mailing Address
Ms. BREANNA LEA BACH LPN
1962 CARDINAL DR
SHAKOPEE, MN 55379-4418
Phone number:
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