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Heather Dejarnett
NPI 1609121508 · on the registry since 2012
Practice
- Address
- 5640 Memorial Ave N
Suite B
Stillwater, MN 55082 - Phone
- (651) 430-1880
- Organisation at this address
- Southside Community Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota