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Individual

AMANDA J KOSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA TMA

Contact information

Practice address
7141 SEVILLE RD, SAGINAW, MN 55779-9716
(218) 833-7579
Mailing address
7141 SEVILLE RD, SAGINAW, MN 55779-9716
(218) 833-7579

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10638827
MN
376K00000X
Nurse's Aide
253199
WI
376K00000X
Nurse's Aide
368566
MT
376K00000X
Nurse's Aide
NMMN222369776R
NM

Other

Enumeration date
08/08/2021
Last updated
08/08/2021
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