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Individual

KATHLEEN M DORWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH, PHARMD

Contact information

Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 430-4563
(651) 430-4630
Mailing address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 430-4563
(651) 430-4630

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114561
MN

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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