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1821673518
WAUNEKA SHUNYELL KELLUM
BROOKLYN PARK, MN
NPI
1821673518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
(Licence: MN 1108075)
Enumeration Date
2021-03-14
Last Update Date
2021-03-14
Business Address
WAUNEKA SHUNYELL KELLUM
7940 SIERRA PKWY
BROOKLYN PARK, MN 55444-1955
Phone number: 763-587-3804
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Mailing Address
WAUNEKA SHUNYELL KELLUM
7940 SIERRA PKWY
BROOKLYN PARK, MN 55444-1955
Phone number: 763-587-3804
Copy
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