SHANNON MARIE KRUCKEBERG

CLAREMONT, MN
NPI1003002882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MN  H6343)
Enumeration Date2007-09-14
Last Update Date2009-11-16
Business Address
-- SHANNON MARIE KRUCKEBERG RDH
63407 130TH AVE
CLAREMONT, MN 55924-4656
Phone number: 507-319-6845
Mailing Address
-- SHANNON MARIE KRUCKEBERG RDH
63407 130TH AVE
CLAREMONT, MN 55924-4656
Phone number: 507-319-6845