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Individual

MRS. JODI LYNN SCANLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6465
(320) 255-6360
Mailing address
5202 GROUSE CT, SAINT CLOUD, MN 56303-4675
(320) 230-1566

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116254-9
MN

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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