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1386398139
KATHLEEN UDOVICH
VIRGINIA, MN
NPI
1386398139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 9004)
Enumeration Date
2022-02-10
Last Update Date
2022-02-10
Business Address
KATHLEEN UDOVICH APRN
624 13TH ST S
VIRGINIA, MN 55792-3149
Phone number: 218-749-2881
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Mailing Address
KATHLEEN UDOVICH APRN
507 E HARVEY ST
ELY, MN 55731-1445
Phone number: 218-235-1108
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