TRACY SUZANNE COUSIN

ST CLOUD, MN
NPI1003891144
Former NameTRACY EIBENSTEINER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: MN  R1602591)
Enumeration Date2005-12-13
Last Update Date2007-07-08
Business Address
-- TRACY SUZANNE COUSIN CNP
1200 6TH AVENUE N
ST CLOUD, MN 56303
Phone number: 320-252-5131
Mailing Address
-- TRACY SUZANNE COUSIN CNP
1200 6TH AVENUE N
ST CLOUD, MN 56303
Phone number: 320-252-5131
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