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Individual

JULIA LYNN STATSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1438
(218) 999-1461
Mailing address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 999-1438
(218) 999-1461

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 158732-8
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275968646
MN
Enumeration date
09/04/2013
Last updated
12/30/2015
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