Individual
DEBRA ANN KERR WASNALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4728
(320) 259-6363
(320) 259-6130
Mailing address
6742 NORTHWOOD LN, SAINT CLOUD, MN 56303-9501
(507) 458-1052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115856
MN
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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