Individual
SANDRA JO ELLINGBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 E COLLEGE DR, MARSHALL, MN 56258-2086
(507) 532-2264
(507) 532-6920
Mailing address
1411 E COLLEGE DR, MARSHALL, MN 56258-2086
(507) 532-2264
(507) 532-6920
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L56707-7
MN
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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