Individual
MRS. CASEY JEAN SEGARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 3RD AVE SE, SUITE 2, PINE CITY, MN 55063
(320) 629-6674
(320) 629-6630
Mailing address
500 3RD AVE SE, SUITE 2, PINE CITY, MN 55063
(320) 629-6674
(320) 629-6630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L69657-9
MN
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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