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1114007382
ILYNE SANDAS
EDEN PRAIRIE, MN
NPI
1114007382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN LP3248)
Enumeration Date
2006-10-16
Last Update Date
2007-07-09
Business Address
Mrs. ILYNE SANDAS MALP
9531 W 78TH ST 125
EDEN PRAIRIE, MN 55344-3810
Phone number: 952-941-2889
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Mailing Address
Mrs. ILYNE SANDAS MALP
8141 MAPLEWOOD TER
CHANHASSEN, MN 55317-9661
Phone number: 952-941-2889
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