Individual
BEVERLY COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 W 41ST ST, HIBBING, MN 55746-3045
(218) 263-1400
Mailing address
719 1ST AVE NW, CHISHOLM, MN 55719-1203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2457657
MN
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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