Individual
MARY ANN BOTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1282 WALNUT ST, DAWSON, MN 56232-2333
(320) 312-2133
(320) 769-4576
Mailing address
2558 180TH ST, CANBY, MN 56220-3395
(320) 444-8234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2517858
MN
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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