INDEPENDANCE MODIFICATIONS INC
Medical Practice at Lever St, Isanti, MN

License number
Minnesota 20529716
Category
Medical Practice
Type
Home Modifications
Owner
Name: MR. BRENT RYAN KELSEY
Title: PRESIDENT
Phone: (651) 755-4459
Address
Address
24819 Lever St NE, Isanti, MN 55040
National Provider ID: 1114099165
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Independence Modifications Inc

24819 Lever St NE, Isanti, MN 55040

Industry:
Business Services at Non-Commercial Site
President, Principal:
Brent R. Kelsey (President, Principal)

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