NCHE MOU-BAYONG

BLOOMINGTON, MN
NPI1407662265
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MN  2342135)
Enumeration Date2024-12-06
Last Update Date2024-12-06
Business Address
NCHE MOU-BAYONG BSN,PHN
1558 E 80TH ST
BLOOMINGTON, MN 55425-1158
Phone number: 651-354-2819
Mailing Address
NCHE MOU-BAYONG BSN,PHN
4373 ARBOR DR
WOODBURY, MN 55129-7585
Phone number: 651-354-2819
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