Vernon Desjarlais

NPI 1740476043 - Technician - 3747P1801X

NPI Details
NPI 1740476043
Gender Male
Enumeration Date 09/20/2007
Last Updated 09/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
27885 170TH AVE SW
CROOKSTON MN, 56716-9444, US
Phone (218) 281-3506
Fax (218) 281-3015
Business Location
27885 170TH AVE SW
CROOKSTON MN, 56716-9444, US
Phone (218) 281-3506
Fax (218) 281-3015
Toxanomy
Taxonomy Code 3747P1801X
License State
License Number
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According to our database, Mr. Vernon Desjarlais NPI is 1740476043, taxonomy code is 3747P1801X Vernon Desjarlais physically located at 27885 170th Ave Sw, Crookston MN, 56716-9444. NPI Number Vernon Desjarlais has the Individual type.

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1740476043 NPI number is provided on an as is basis without warranty of any kind. 1740476043 is maintained by the National Plan & Provider Enumeration System. The contents of Vernon Desjarlais are for informational purposes only.