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1043519499
ADDIE NOEL KETELSEN
ANOKA, MN
NPI
1043519499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A-113254)
Enumeration Date
2011-03-24
Last Update Date
2014-09-05
Business Address
-- ADDIE NOEL KETELSEN ARNP
7231 SUNWOOD DR NW
ANOKA, MN 55303-5190
Phone number: 763-236-0000
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Mailing Address
-- ADDIE NOEL KETELSEN ARNP
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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