SANDRA LEE MCTAVISH

SAINT PAUL, MN
NPI1023070299
Former NameSANDRA LEE WHITMORE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  R125328-3)
Enumeration Date2006-04-04
Last Update Date2007-07-08
Business Address
-- SANDRA LEE MCTAVISH CNP
1690 UNIVERSITY AVE W SUITE 460
SAINT PAUL, MN 55104-3723
Phone number: 651-232-2002
Mailing Address
-- SANDRA LEE MCTAVISH CNP
1690 UNIVERSITY AVE W SUITE 460
SAINT PAUL, MN 55104-3723
Phone number: 651-232-2002
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