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Individual

KENNEDY ROSELLA TONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 MEADOWLANDS DR, SAINT PAUL, MN 55127-2339
(612) 702-4861
Mailing address
1011 MEADOWLANDS DR, SAINT PAUL, MN 55127-2339
(612) 702-4861

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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