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Individual

JACKLYN NICOLE OAKDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7820 114TH AVE N, CHAMPLIN, MN 55316-2708
(763) 228-7997
Mailing address
7820 114TH AVE N, CHAMPLIN, MN 55316-2708
(763) 228-7997

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
823721
MN

Other

Enumeration date
10/27/2022
Last updated
10/27/2022
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