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Individual

MRS. KIM MARIE AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCA

Contact information

Practice address
393 N DUNLAP, #115, ST PAUL, MN 55104
(651) 646-2427
(651) 649-3018
Mailing address
393 N DUNLAP, #115, ST PAUL, MN 55104
(651) 646-2427
(651) 649-3018

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7217
MN

Other

Enumeration date
02/23/2007
Last updated
07/08/2007
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