Individual
DEBRA KAY SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1932 PLUM ST, MORA, MN 55051-7221
(320) 420-6639
Mailing address
1932 PLUM ST, MORA, MN 55051-7221
(320) 679-1530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
98025
MN
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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