Individual
KELLY GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 MINNESOTA AVE, ALBERT LEA, MN 56007-3620
(507) 373-2250
Mailing address
611 MINNESOTA AVE, ALBERT LEA, MN 56007-3620
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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