Individual
DEIDRA KOONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 NORTH ELM STREET, FARGO, ND 58102
(701) 232-3241
Mailing address
680 119TH ST NE, MONTICELLO, MN 55362-3211
(717) 926-8877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2528296
MN
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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