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Individual

DARCY RISBRUDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6055 NATHAN LN N, SUITE 200A, PLYMOUTH, MN 55442-1674
(763) 513-4344
(763) 248-7640
Mailing address
6055 NATHAN LN N, SUITE 200A, PLYMOUTH, MN 55442-1674
(763) 513-4344
(763) 248-7640

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118857
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118857
PHARMACIST LICENSE
MN
Enumeration date
07/18/2016
Last updated
07/18/2016
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