Individual
DEBORAH LEEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-4904
Mailing address
1704 RED FOX RD, SAINT CLOUD, MN 56301-7900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118090-3
MN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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