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Individual

JODY KATHARINA LOHSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
609 FRONT STREET, HENNING, MN 56551
(218) 583-4428
(218) 583-2504
Mailing address
609 FRONT STREET, P.O.BOX 92, HENNING, MN 56551
(218) 583-4428
(218) 583-2504

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MN

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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