Kathleen Marie Ites

NPI #1811273782 in Burnsville, Minnesota

Provider Information

NPI Number: 1811273782
Entity Type: Individual
Name: Kathleen Marie Ites
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 24, 2011
Last Updated: Oct 24, 2011

Practice Location

Address: 950 COUNTY ROAD 42 W
City: Burnsville
State: Minnesota
ZIP Code: 55337-4428
Phone: (952) 892-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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