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ANGELA SANDELIN
>> Homemaker >> Nursing Service Related ProvidersRegistrant NPI Number: 1679152813
Individual Registrant: ANGELA SANDELIN
Gender: F
Not Sole Proprietor
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
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
Tel: 218-839-1895 Fax: 218-568-1097
Registration Information:
NPI: 1679152813
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 376J00000X | Nursing Service Related Providers Homemaker | MN | 396510 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| COMPREHENSIVE HOME CARE LICENSE | 396510 | MN | 01 |
