Individual
MRS. PAULETTE MAE O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24 DEERWOOD ST, DULUTH, MN 55811-3439
(218) 464-0517
Mailing address
24 DEERWOOD ST, DULUTH, MN 55811-3439
(218) 464-0517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 049495-9
MN
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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