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Individual

MRS. KATHLEEN ANN HIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3776 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2629
(763) 236-8443
(763) 427-1787
Mailing address
10361 YATES DR N, BROOKLYN PARK, MN 55443-2193
(763) 315-6633

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2005114
MN

Other

Enumeration date
12/13/2006
Last updated
07/08/2007
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