SOMSANUK SOUKSAWAN

SAINT PAUL, MN
NPI1992936660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2009-07-29
Last Update Date2009-07-29
Business Address
-- SOMSANUK SOUKSAWAN
23 EMPIRE DR SUITE 123
SAINT PAUL, MN 55103-1856
Phone number: 651-222-2787
Mailing Address
-- SOMSANUK SOUKSAWAN
617 PERSHING BLVD
WORTHINGTON, MN 56187-1261
Phone number: 651-222-2787
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