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Individual

CAROL CANTLEBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
19021 FREEPORT ST NW, SUITE 400, ELK RIVER, MN 55330-1278
(763) 633-3800
(763) 633-3800
Mailing address
19021 FREEPORT ST NW, SUITE 400, ELK RIVER, MN 55330-1278
(763) 633-3800
(763) 633-3800

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
12/22/2011
Last updated
12/22/2011
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