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Individual

KAYLA DALE DASCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
Mailing address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R160106-8
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760614630
MN
Enumeration date
08/11/2009
Last updated
03/20/2014
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