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Johnathan Repoyo
Specialist in Detroit Lakes, Minnesota
NPI 1851893457

Johnathan Repoyo is a Specialist based in Moorhead, MN. Johnathan Repoyo practices in Detroit Lakes, MN. The NPI Number for Johnathan Repoyo is 1851893457 and holds a License No. (Minnesota).

The current practice location address for Johnathan Repoyo is 1104 W River Rd, Detroit Lakes, MN and can be reached out via phone at 218-287-4338. You can also correspond with Johnathan Repoyo through the mailing address at 891 BELSLY BLVD, MOORHEAD, MN - 56560-5055 (mailing address contact number: 218-287-4338).

Location: 1104 W River Rd, Detroit Lakes, MN, 56560-5055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851893457
Provider Name
Johnathan Repoyo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1104 W River Rd, Detroit Lakes, MN, 56560-5055
Phone Number
218-287-4338
Fax Number
Provider Enumeration Date
02/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1104 W River Rd
City
Detroit Lakes
State
Minnesota
Zip
56501-2723
Phone Number
218-287-4338
Fax Number
person
Provider Business Mailing Address Details
Address
1104 W River Rd
City
Detroit Lakes
State
Minnesota
Zip
56501-2723
Phone Number
218-287-4338
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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