Individual
JULIE E BLASKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 DEER VALLEY RD, FERGUS FALLS, MN 56537-4437
(218) 736-7945
(218) 736-4250
Mailing address
1916 DEER VALLEY RD, FERGUS FALLS, MN 56537-4437
(218) 736-7945
(218) 736-4250
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1006853-8-AFC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006853-8-AFC
LICENSE
MN
Enumeration date
04/23/2014
Last updated
04/23/2014
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