Individual
CARLA BOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2505 WILLMAR AVE SW, WILLMAR, MN 56201-2711
(320) 214-2852
(320) 214-5855
Mailing address
1018 6TH ST, GRANITE FALLS, MN 56241-1315
(507) 616-6679
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L 075992-4
MN
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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