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Individual

KATHRYN O GLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3908 LILLIE CT SW, ROCHESTER, MN 55902-1609
(507) 923-5010
Mailing address
3908 LILLIE CT SW, ROCHESTER, MN 55902-1609

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GW45CC
EMERGENCY MEDICAL RESPONSE
WI
Enumeration date
03/18/2019
Last updated
03/18/2019
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