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Individual

JAMIE ANN KIENITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9216 PAGE AVE NE, OTSEGO, MN 55330-7255
(763) 670-7102
Mailing address
9216 PAGE AVE NE, OTSEGO, MN 55330-7255
(763) 670-7102

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 196254-5
MN

Other

Enumeration date
10/14/2012
Last updated
10/14/2012
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