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1215479969
JEFFREY KOONS
MAPLEWOOD, MN
NPI
1215479969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: MN 174221-5)
Enumeration Date
2016-11-12
Last Update Date
2016-11-12
Business Address
-- JEFFREY KOONS
1684 EDGERTON ST
MAPLEWOOD, MN 55117-2419
Phone number: 612-414-2332
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Mailing Address
-- JEFFREY KOONS
1684 EDGERTON ST
MAPLEWOOD, MN 55117-2419
Phone number:
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