Owen Payne Kusick

NPI #1073064804 in Plymouth, Minnesota

Provider Information

NPI Number
1073064804
Entity Type
Individual
Name
Owen Payne Kusick
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Oct 17, 2016
Last Updated
Oct 17, 2016

Practice Location

Address
16717 49TH PL N
ZIP Code
55446
Phone
(763) 592-9613

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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