Individual
KORA A BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2019 JEFFERSON RD STE A, NORTHFIELD, MN 55057-3258
(507) 645-9202
(507) 645-9203
Mailing address
2019 JEFFERSON RD STE A, NORTHFIELD, MN 55057-3258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3786
MN
Other
Enumeration date
06/07/2022
Last updated
08/06/2024
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