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Individual

KERRIANN GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
530 3RD ST NW, ELK RIVER, MN 55330-1445
(763) 587-4800
(763) 587-4885
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(763) 587-4800
(763) 587-4885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7455
MN

Other

Enumeration date
05/12/2020
Last updated
11/11/2020
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