MS. Dawn Renee Restad, IBO

NPI #1942424841 in Perham, Minnesota

Provider Information

NPI Number: 1942424841
Entity Type: Individual
Name: MS. Dawn Renee Restad, IBO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: IBO
Enumeration Date: Apr 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 450 1ST AVE S
City: Perham
State: Minnesota
ZIP Code: 56573-1601
Phone: (218) 205-4330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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