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Individual

KARI B BECERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
640 JACKSON ST, MAIL STOP 11503P, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-3048
Mailing address
8170 33RD AVE S # 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0793
MN
367500000X
Certified Registered Nurse Anesthetist
R1350513
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
355490200
MN
Enumeration date
02/27/2006
Last updated
02/23/2024
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