ROBERTA J DECKER

CASS LAKE, MN
NPI1235438623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MN  L041992-1)
Enumeration Date2011-03-24
Last Update Date2011-03-24
Business Address
-- ROBERTA J DECKER lpn
115 6TH ST NE
CASS LAKE, MN 56633-3428
Phone number: 218-335-4557
Mailing Address
-- ROBERTA J DECKER lpn
115 6TH ST NE
CASS LAKE, MN 56633-3428
Phone number: 218-335-4557
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