MR. Tibli Olandrus Dickson, MANAGER

NPI #1003615030 in Champlin, Minnesota

Provider Information

NPI Number
1003615030
Entity Type
Individual
Name
MR. Tibli Olandrus Dickson, MANAGER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nursing Home Administrator
Credential
MANAGER
Enumeration Date
Mar 11, 2025
Last Updated
Mar 11, 2025

Practice Location

Address
7400 122ND AVE N
ZIP Code
55316-2127
Phone
(612) 865-6220

Specialties & Taxonomy Codes

Specialty
Nursing Home Administrator

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