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AMY ROSE BEAULIEU

Nursing Service Related Providers Technician Personal Care Attendant

Provider NPI: 1174701775

Provider Information:
 AMY ROSE BEAULIEU 
Gender: F
Not Sole Proprietor

Practice Location:
27885 170TH AVE SW  CROOKSTON, MN 56716-9444 US
Tel: 218-281-3506  Fax: 218-281-3015

Business Mailing Address:
27885 170TH AVE SW  CROOKSTON, MN 56716-9444 US
Tel: 218-281-3506  Fax: 218-281-3015

NPI Information:
NPI: 1174701775
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747P1801XNursing Service Related Providers
Technician
Personal Care Attendant

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3747P1801X

Type:

Classification:



Definition:



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