Individual
MRS. KIMBERLY KAE CRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28647 HWY 92, BAGLEY, MN 56621
(218) 694-3049
(218) 785-2707
Mailing address
34666 ROCK RIDGE RD, BAGLEY, MN 56621-4214
(218) 694-3049
(218) 785-2707
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
0006952-14675
MN
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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