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Individual

BETH OSTLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
416 2ND STREET NW, CASS LAKE, MN 56633
(218) 335-8868
Mailing address
PO BOX 727, CASS LAKE, MN 56633-0727
(218) 335-8868

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R184935-4
MN
164W00000X
Licensed Practical Nurse
L063878-6
MN

Other

Enumeration date
04/04/2007
Last updated
10/03/2008
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