Individual
SUSAN JO SEABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41807 FAWN OAKS RD, DENT, MN 56528-9111
(218) 205-0345
Mailing address
41807 FAWN OAKS RD, DENT, MN 56528-9111
(218) 205-0345
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R1104837
MN
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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