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NPI Profile for ELEANOR ELLIE FREERKSEN in DODGE CENTER, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1720694722 |
|
| Status | Active | |
| Credentials | MS | |
| Entity | Individual | |
| Enumeration date | 09/16/2020 | |
| Last updated | 09/16/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ELEANOR ELLIE FREERKSEN, MS