Individual
NICOLE MRAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 S COUNTY ROAD 45, OWATONNA, MN 55060-5113
(612) 454-2128
Mailing address
1917 BRIDGE AVE, ALBERT LEA, MN 56007-2048
(612) 454-2130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-054730-1
MN
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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