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CASSANDRA LEE CLINDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
48469 COUNTY 13 BLVD, KENYON, MN 55946-3945
(260) 557-6373
Mailing address
48469 COUNTY 13 BLVD, KENYON, MN 55946-3945
(260) 557-6373

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
71015066A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
202314802
MN

Other

Enumeration date
08/29/2023
Last updated
04/16/2024
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