Individual
MS. CONNIE LEE GABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
317 ORTLOFF TRL NW, WATERTOWN, MN 55388-9102
(952) 237-2834
Mailing address
317 ORTLOFF TRL NW, WATERTOWN, MN 55388-9102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L46360-5
MN
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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