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Individual

NAN VOBR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1243594
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
849088100
MN
Enumeration date
07/20/2006
Last updated
12/05/2012
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