LOUIE CHELLE BACALTOS VILLAMOR

MAPLEWOOD, MN
NPI1497330476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14164)
Enumeration Date2021-03-11
Last Update Date2022-09-12
Business Address
LOUIE CHELLE BACALTOS VILLAMOR
2165 WHITE BEAR AVE N
MAPLEWOOD, MN 55109-2707
Phone number: 651-523-9800
Mailing Address
LOUIE CHELLE BACALTOS VILLAMOR
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number:
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