Individual
JENNIFER LOUISE KNOWLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1405 ANNE ST NW, BEMIDJI, MN 56601-5113
(218) 444-9646
Mailing address
23400 450TH AVE, AITKIN, MN 56431-4837
(218) 838-2469
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8416
MN
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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