Individual
LARISSA YEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 COBORN BLVD, SAINT CLOUD, MN 56301-2100
(320) 534-2754
Mailing address
13868 306TH AVE NW, PRINCETON, MN 55371-4594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125027
MN
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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