Individual
MRS. BECKY JO AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6489
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
825078
MN
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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