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NPI Code Detail

MEDICARE: MISS PAIGE LORRAINE SPERRY

MEDICARE: MISS PAIGE LORRAINE SPERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1144825621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PAIGE LORRAINE SPERRY
Provider Business Mailing Address
First Line : 910 8TH ST S STE B
Second Line :
City : VIRGINIA
State : MN
Zip : 55792-3236
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 910 8TH ST S STE B
Second Line :
City : VIRGINIA
State : MN
Zip : 55792-3236
Country : US
Telephone Number : 218-748-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2020
Last Update Date : 12/02/2020

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Directions to “ MISS PAIGE LORRAINE SPERRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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