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Individual

SARA A KANUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
1324 5TH ST N, NEW ULM, MN 56073-1514
(507) 276-0467
Mailing address
1324 5TH ST N, NEW ULM, MN 56073-1514
(507) 276-0467

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0612944
MN
363LF0000X
Family Nurse Practitioner
F0612944
MN

Other

Enumeration date
07/19/2012
Last updated
04/24/2018
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