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Individual

KIRSTEN LANDMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
3835 SUPREME CT NW, SUITE 2, BEMIDJI, MN 56601-4446
(218) 444-8280
(218) 444-8337
Mailing address
3835 SUPREME CT NW, SUITE 2, BEMIDJI, MN 56601-4446
(218) 444-8280
(218) 444-8337

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9442
MN

Other

Enumeration date
06/24/2016
Last updated
06/24/2016
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