Individual
BONNIE JEAN BESVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 87TH AVE W, DULUTH, MN 55808-1504
(218) 393-1797
Mailing address
1129 87TH AVE W, DULUTH, MN 55808
(218) 393-1797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196223-1
MN
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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