Individual
RANDALI RAE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-6000
Mailing address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
000000
MN
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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