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1679250385
KELSEY MAE DOCKENDORF
STAPLES, MN
NPI
1679250385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 10392)
Enumeration Date
2023-07-04
Last Update Date
2023-07-13
Business Address
KELSEY MAE DOCKENDORF CNP
49725 COUNTY 83
STAPLES, MN 56479-5280
Phone number: 320-248-5083
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Mailing Address
KELSEY MAE DOCKENDORF CNP
16101 WILDERNESS DR
STAPLES, MN 56479-3127
Phone number: 320-248-5083
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