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Individual

RUTH DOURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
724 MAPLE GROVE RD, DULUTH, MN 55811-4521
(218) 279-4209
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104144
MN
225X00000X
Occupational Therapist
4980-26
WI

Other

Enumeration date
02/08/2012
Last updated
03/08/2022
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