Individual
MARY JO KINZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 2ND AVE SE, KULM, ND 58456-7201
(701) 830-0884
Mailing address
PO BOX 264, KULM, ND 58456-0264
(701) 830-0884
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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