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Individual

JACOB RAIMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
249 OAK DR, EAGLE LAKE, MN 56024-3404

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
.
MN
390200000X
Student in an Organized Health Care Education/Training Program
MN

Other

Enumeration date
02/08/2021
Last updated
02/25/2021
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