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1790479749
BENENON TAH PERERVA
MINNEAPOLIS, MN
NPI
1790479749
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Former Name
BENENON TAH SHANNON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
MRS. BENENON TAH PERERVA
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 612-725-2000
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Mailing Address
MRS. BENENON TAH PERERVA
6701 RICHFIELD PKWY APT C217
RICHFIELD, MN 55423-7525
Phone number:
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