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Individual

CURTISS A HAUTALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
202 2ND ST, NASHWAUK, MN 55769-1112
(218) 885-2613
(218) 885-1462
Mailing address
41465 STATE HIGHWAY 65, NASHWAUK, MN 55769-4115
(218) 885-1813

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111845-4
MN
183500000X
Pharmacist
2999
ND

Other

Enumeration date
11/22/2006
Last updated
07/08/2007
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