Grace Edith Line
Grace Edith Line is a Driver in Andover, Minnesota. Works from 2 locations. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2020
Practice location Address checks out
2934 168th Ln NWAndover, MN 55304-1928
Phone: (218) 481-5357
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6588 Fredenberg Lake Rd, Duluth, MN 55803-9468 — (218) 481-5357
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence B772-020-465-216 (MN) |
|---|
Record details
| NPI number | 1790318186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 13, 2020 |
| Last updated in NPPES | February 13, 2020 |
| Certification date | February 13, 2020 |
| Mailing address | Po Box 15192, Duluth, MN 55815-0192 |
Other providers in Andover
-
Kenyi Okucu
1490 148th Ave NW, Andover, MN 55304-3459 · (612) 401-8145