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1265970537
STACIE BARKER
OAKDALE, MN
NPI
1265970537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: MN 10847801HCBS)
Enumeration Date
2017-02-07
Last Update Date
2017-02-07
Business Address
-- STACIE BARKER
3030 GRANADA AVE N SUITE B
OAKDALE, MN 55128-3543
Phone number: 651-209-1111
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Mailing Address
-- STACIE BARKER
3030 GRANADA AVE N SUITE B
OAKDALE, MN 55128-3543
Phone number: 651-209-1111
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