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Jodi Ranae Rother, HIS
Specialist in Lakeville, Minnesota
NPI 1902171606

Jodi Ranae Rother is a Specialist based in Lakeville, MN. Jodi Ranae Rother practices in Lakeville, MN and has the professional credentials of HIS. The NPI Number for Jodi Ranae Rother is 1902171606 and holds a License No. 2480 (Minnesota).

The current practice location address for Jodi Ranae Rother is 17316 Kenyon Ave, Lakeville, MN and can be reached out via phone at 952-255-8579 and via fax at 952-255-8578. You can also correspond with Jodi Ranae Rother through the mailing address at 17316 KENYON AVE, LAKEVILLE, MN - 55044-6909 (mailing address contact number: 952-255-8579).

Location: 17316 Kenyon Ave, Lakeville, MN, 55044-6909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902171606
Provider Name
Jodi Ranae Rother
Credential
HIS
Provider Entity Type
Individual
Gender
Female
Address
17316 Kenyon Ave, Lakeville, MN, 55044-6909
Phone Number
952-255-8579
Fax Number
952-255-8578
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2480 01 MN MN DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
17316 Kenyon Ave
City
Lakeville
State
Minnesota
Zip
55044-6909
Phone Number
952-255-8579
Fax Number
952-255-8578
person
Provider Business Mailing Address Details
Address
17316 Kenyon Ave
City
Lakeville
State
Minnesota
Zip
55044-6909
Phone Number
952-255-8579
Fax Number
952-255-8578
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2480 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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