Individual
MRS. LINDA ANN KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 JEFF AVE N, SEBEKA, MN 56477-2454
(218) 837-5663
Mailing address
207 JEFFERSON AVE N, SEBEKA, MN 56477
(218) 837-5663
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17200000X
MN
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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