Individual
REBECCA LEDEBOER-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 3RD ST, PRINSBURG, MN 56281-9735
(320) 444-7167
Mailing address
108 3RD ST, PRINSBURG, MN 56281-9735
(320) 444-7167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121974
MN
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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