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Justin Taylor
NPI 1699314765 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2020 Ridgeview Dr
International Falls, MN 56649 - Phone
- (218) 283-2806
- Fax
- (218) 283-2177
- Organisation at this address
- Ridgeview Llc
Ridgeview Assisted Living LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-06
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