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Individual

STEPHANIE YOUNGBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11400 JULIANNE AVE N, STILLWATER, MN 55082-9436
(651) 426-3300
Mailing address
530 SPRING ST APT B1, SOMERSET, WI 54025-9067
(218) 251-6382

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L67905-9
MN

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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