Individual
MS. DEBORAH LYNN RIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 4TH AVE N, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
PO BOX 641, BARNESVILLE, MN 56514
(218) 354-2328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-066441-7
MN
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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