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Organization

SOUTHWEST MINNESOTA STATE UNIVERSITY STUDENT HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE DALLENBACH RN, BSN, PHN (DIRECTOR OF STUDENT HEALTH SERVICES)
(507) 537-7202
Entity
Organization

Contact information

Practice address
1501 STATE ST # BA158, MARSHALL, MN 56258-3306
(507) 537-7202
(507) 537-7259
Mailing address
1501 STATE ST, MARSHALL, MN 56258-3306
(507) 537-7202
(507) 537-7259

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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