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Individual

CONNIE NUSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1517 FAIR ST, MANKATO, MN 56001-5212
(507) 388-0708
Mailing address
1517 FAIR ST, MANKATO, MN 56001-5212

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
761357600026
MN

Other

Enumeration date
07/25/2014
Last updated
07/25/2014
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