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1568884138
CHARLES MICHIRA
MINNEAPOLIS, MN
NPI
1568884138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: MN 209223-6)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
-- CHARLES MICHIRA
1433 E FRANKLIN AVE STE 1
MINNEAPOLIS, MN 55404-2101
Phone number: 612-294-1306
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Mailing Address
-- CHARLES MICHIRA
20993 HOLIDAY AVE
LAKEVILLE, MN 55044-9803
Phone number: 763-225-7711
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