Individual
MRS. TINA LOUISE DIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE NORTH, FERGUS FALLS, MN 56537
(218) 998-3778
(218) 998-3187
Mailing address
30844 CAREFREE LN, FRAZEE, MN 56544
(218) 841-3957
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L67103-1
MN
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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