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ANGELA SANDELIN

>> Homemaker >> Nursing Service Related Providers

Registrant NPI Number: 1679152813

Individual Registrant:
 ANGELA  SANDELIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
30849 1ST ST  PEQUOT LAKES, MN 56472-2767 US
Tel: 218-839-1895  Fax: 218-568-1097

Contact information for business:
PO BOX 852  PEQUOT LAKES, MN 56472-0852 US
Tel: 218-839-1895  Fax: 218-568-1097

Registration Information:
NPI: 1679152813
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376J00000XNursing Service Related Providers
Homemaker
MN396510

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
COMPREHENSIVE HOME CARE LICENSE396510MN01




HEALTH CARE JOBS MN - Page 1



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