Individual
KATIE G RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 3RD AVE NE, OWATONNA, MN 55060-1330
(507) 363-1304
Mailing address
2115 3RD AVE NE, OWATONNA, MN 55060-1330
(507) 363-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2289667
MN
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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