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Individual
RANDI JO HOFFMANN
Active
Individual
RANDI JO HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19676
SC
363L00000X
Nurse Practitioner
R145287-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101623700
—
MN
01
—
500008840
RAILROAD MEDICARE
MN
Enumeration date
12/27/2005
Last updated
08/18/2015
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