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SAMANTHA LEE VAN BEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4465 HIGHWAY 61 WEST, GOODVIEW, MN 55987-1659
(507) 410-1144
(507) 410-1144
Mailing address
4465 HIGHWAY 61 WEST, GOODVIEW, MN 55987-1659
(507) 410-1144
(507) 410-1144

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L672470
MN

Other

Enumeration date
08/18/2011
Last updated
08/18/2011
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