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Individual

RITA CAROLYN KORMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
C.P.N.P., I.B.C.L.C.

Contact information

Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
17553 640TH AVE, ALDEN, MN 56009-5409
(507) 874-3180

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 057423-5
MN

Other

Enumeration date
01/16/2006
Last updated
07/08/2007
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