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Andre Roberson
NPI 1629546072 · on the registry since 2018
Practice
- Address
- 1110 Evergreen Ln N
Plymouth, MN 55441 - Phone
- (763) 200-7441
- Organisation at this address
- Elevate Transportation Services Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Adult Companion
372600000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota