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1033877378
KHRYSTYNA ANTONOVA
PLYMOUTH, MN
NPI
1033877378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 7317)
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
KHRYSTYNA ANTONOVA NP
15552 57TH PL N
PLYMOUTH, MN 55446-3737
Phone number: 612-481-1842
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Mailing Address
KHRYSTYNA ANTONOVA NP
15552 57TH PL N
PLYMOUTH, MN 55446-3737
Phone number: 612-481-1842
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