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1609002609
LAVERN THOMAS
MINNEAPOLIS, MN
NPI
1609002609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: MN 72734346)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
-- LAVERN THOMAS DME provider
1530 QUEEN AVE N
MINNEAPOLIS, MN 55411
Phone number: 612-701-8544
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Mailing Address
-- LAVERN THOMAS DME provider
1530 QUEEN AVE N
MINNEAPOLIS, MN 55411
Phone number: 612-701-8544
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