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Individual

DIANA JENDRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
2501 WEST AVE, RICE LAKE, WI 54868-6000
(715) 234-2997
Mailing address
41395 POOR FARM RD, NORTH BRANCH, MN 55056-9001
(320) 493-8136

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14832-40
WI

Other

Enumeration date
10/14/2020
Last updated
10/14/2020
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