Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility Supplies |
332BN1400X | 87 | All Other Suppliers |
| NPI Number | 1902134224 |
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| LBN Legal business name | KNUTSON | ||||
| Authorized official | NANCY KNUTSON - (LPN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/24/2009 | ||||
| Last updated | 11/24/2009 - About 17 years ago | ||||
| Identifiers |
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