Individual
ANGELA EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 MADISON AVE, MANKATO, MN 56001-5448
(507) 387-6515
Mailing address
1850 MADISON AVE, MANKATO, MN 56001-5448
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117073
MN
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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