Individual
MIRANDA KAY DEBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
311 N MAIN ST, AUSTIN, MN 55912-3407
(507) 696-1043
Mailing address
306 4TH AVE NW, DODGE CENTER, MN 55927-9242
(507) 633-8098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
817489
MN
Other
Enumeration date
05/10/2020
Last updated
05/12/2020
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