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Grace Line — NPI 1790318186, Andover, MN | NPI Central

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NPI 1790318186

IndividualActive

Grace Line

NPI 1790318186 · Driver · Andover, MN

Provider details

NPI number: 1790318186
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: No
License: B772-020-465-216 (MN)

Specialties & taxonomies

DriverPrimary172A00000XLicense B772-020-465-216 (MN)
Other Service Providers

Practice location

2934 168th Ln Nw

Andover, MN 55304-1928

Phone: (218) 481-5357

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

Po Box 15192

Duluth, MN 55815-0192

Additional practice locations (1)

6588 Fredenberg Lake Rd
Duluth, MN 55803-9468
Phone: (218) 481-5357

Registry dates

Enumerated: 2020-02-13
Last updated: 2020-02-13
Certified: 2020-02-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.