Individual
JOHN H DECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 BELGRADE AVE, NORTH MANKATO, MN 56003-3601
(507) 345-8591
Mailing address
705 BELGRADE AVE, NORTH MANKATO, MN 56003-3601
(507) 327-7959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2311425
MN
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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