Individual
CORAL HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6349
Mailing address
13999 125TH AVE NE, FOLEY, MN 56329-9230
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
827346
MN
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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