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Individual

LUANN KAYE MANNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
148 S BROADWAY AVE, ALBERT LEA, MN 56007-2544
(507) 373-1486
(507) 373-8356
Mailing address
803 N 3RD AVE E, LAKE MILLS, IA 50450-1114
(641) 592-1972

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116466-0
MN
183500000X
Pharmacist
18599
IA

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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