Individual
DEBORAH ANNE HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 4TH AVE. N., FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
708 G STREET NE, BRAINERD, MN 56401
(218) 820-0053
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-069539-7
MN
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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