Individual
LINDA FOSMO KOPECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1905 11TH ST SW, ROCHESTER, MN 55902-3429
(507) 254-5454
Mailing address
1905 11TH ST SW, ROCHESTER, MN 55902-3429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 091836-7
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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