Individual
ANGELA DEBLIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
Mailing address
3701 12TH ST N STE 202, SAINT CLOUD, MN 56303-2253
(320) 258-3090
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1737547
MN
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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