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Individual

JENNIFER REBECCA VIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9428 GRAND AVE TRLR 31, DULUTH, MN 55808-1308
(218) 269-7109
Mailing address
9428 GRAND AVE TRLR 31, DULUTH, MN 55808-1308
(218) 269-7109

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L60073-0
MN

Other

Enumeration date
04/13/2018
Last updated
04/13/2018
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