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1194356865
HUSSEN WAKO BUTTA
MAPLEWOOD, MN
NPI
1194356865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: MN 394663)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
HUSSEN WAKO BUTTA
2245 IDE CT
MAPLEWOOD, MN 55109-2635
Phone number: 612-578-7723
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Mailing Address
HUSSEN WAKO BUTTA
2245 IDE CT
MAPLEWOOD, MN 55109-2635
Phone number: 612-578-7723
Copy
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