Kim Marie Makousky

NPI #1013214428 in Roseville, Minnesota

Provider Information

NPI Number
1013214428
Entity Type
Individual
Name
Kim Marie Makousky
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 21, 2011
Last Updated
Feb 21, 2011

Practice Location

Address
2800 CLEVELAND AVE N
ZIP Code
55113-1126
Phone
(651) 642-1825

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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