Individual
MS. SHERRIE L LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
805 6TH AVE NW, NEW BRIGHTON, MN 55112-2717
(651) 403-5427
(651) 636-0936
Mailing address
805 6TH AVE NW, NEW BRIGHTON, MN 55112-2717
(651) 403-5427
(651) 636-0936
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1117
MN
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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