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Individual

MARY JANE RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1245 WASHINGTON AVE, DETROIT LAKES, MN 56501-3905
(218) 846-2000
(218) 846-2114
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9066
MN

Other

Enumeration date
03/27/2013
Last updated
01/07/2020
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