Individual
KATHRYN PEARSON-BREVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6483 HERITAGE TRL, GILBERT, MN 55741-8029
(218) 865-7021
Mailing address
6483 HERITAGE TRL, GILBERT, MN 55741-8029
(218) 865-7021
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1072919-2-HCBS
MN
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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